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    Form Pengajuan SK Tugas Akhir

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
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    20 views2 pages

    Form Pengajuan SK Perpanjangan Pembimbing Tugas Akhir

    Uploaded by

    agungbijaksana
    Form Pengajuan SK Tugas Akhir

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 2

    UNIVERSITAS TELKOM No.

    Formulir
    Jl. Telekomunikasi No. 1 Ters. Buah Batu Bandung 40257 Revisi 00
    FORMULIR PENGAJUAN SK. TUGAS AKHIR Berlaku Efektif
    FAKULTAS REKAYASA INDUSTRI Hal. 1 dari 1

    FORMULIR PENGAJUAN PERPANJANGAN SK TUGAS AKHIR


    FAKULTAS REKAYASA INDUSTRI
    Kelompok Keahlian : ___________________________________________
    Keprofesian : ___________________________________________

    Tanda Tangan Nama Pembimbing Tanda Tangan


    No. NIM Nama Mahasiswa Nama Pembimbing I
    Pembimbing I II Pembimbing II

    Catatan : syarat pengajuan SK Tugas Akhir adalah telah lulus mata kuliah Penyusunan Proposal Ilmiah / Metode Penelitian dan Penyusunan Karya Ilmiah, serta telah lulus minimum 125 SKS
    (dibuktikan dengan KHS dan KSM).
    1. Data Mahasiswa
    Nama : ......................................................................................................................
    NIM : ......................................................................................................................
    Judul TA : ......................................................................................................................
    ......................................................................................................................
    ……………………………………………………………………………………..

    2. Pembimbing I Tugas Akhir


    Nama : ......................................................................................................................
    NIP : ......................................................................................................................
    Pendidikan Terakhir : ......................................................................................................................
    JFA : .....................................................................................................................

    3. Pembimbing II Tugas Akhir


    Nama : .....................................................................................................................
    NIP : .....................................................................................................................
    Pendidikan Terakhir : .....................................................................................................................
    JFA : ..................................................................................................................

    Menyetujui,
    Pembimbing I Pembimbing II

    (.......................................) (.......................................)

    Catatan : 1. Syarat Pembimbing I Tugas Akhir adalah tingkat pendidikan minimum S2 dan Jabatan Fungsional Akademik minimum Asisten Ahli
    2. Apabila Pembimbing bukan dosen tetap atau dosen luar biasa di Fakultas Rekayasa Industri, harap melampirkan fotokopi ijazah terakhir dan
    fotokopi SK Jabatan Fungsional Akademik.
    3. Halaman ini di print sesuai jumlah anggota kelompoknya

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