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psmid=39230&id=B930EC5E-8CDB-42C0-B326-6B923E798EF1&cetak=1

KEMENTERIAN PENDIDIKAN, KEBUDAYAAN, RISET, DAN TEKNOLOGI

INSTITUT TEKNOLOGI SEPULUH NOPEMBER
DIREKTORAT PASCASARJANA DAN PENGEMBANGAN AKADEMIK
Kampus ITS Sukolilo, Surabaya 60111
Telp : 031-5994251-54, 5947274, 5945472 (Hunting), PABX : 1126, 1384
Fax : 031-5923465, 5947845
http://www.pasca.its.ac.id

STATEMENT OF ENROLLMENT
No. 57372/IT2.I.3.2/KM.00.04.01/2022

I, the undersigned:

Name : Prof. Dr.rer.pol. Heri Kuswanto, S.Si., M.Si.

Employee ID Number : 198203262003121004
Designation : Director of Postgraduate Program and Academic Development
Address : Kampus ITS Sukolilo

certify that the following student:

Name : MUHAMMAD ALI FIKRI

Student's Reg. Number : 6010211028
Department : Industrial Engineering
Faculty : Faculty of Industrial Technology and Systems Engineering
Place/Date of Birth : KABUPATEN GRESIK, 30th of August, 1995
Address : Jalan Raya Lasem Sidayu no 27
Kab. Gresik 61155

is enrolled as a student of Institut Teknologi Sepuluh Nopember (ITS), Magister programme. The enrollment is valid from
Odd Semester of Academic Year 2022/2023.

This letter is only eligible as the requirement to apply for a visa.

Surabaya, 7th of December, 2022

Director of Postgraduate Program and Academic
Development,

Prof. Dr.rer.pol. Heri Kuswanto, S.Si., M.Si.

NIP. 198203262003121004

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