labkomfisip.ub.ac.idlabkomfisip.ub.ac.id/wp-content/uploads/2017/08/di-sini.docx · web viewjudul...

KEMENTERIAN RISET, TEKNOLOGI DAN PENDIDIKAN TINGGIUNIVERSITAS BRAWIJAYA

FAKULTAS ILMU SOSIAL DAN ILMU POLITIKJalan Veteran, Malang, 65145, Indonesia

Telp. :+62341 575755; Fax : +62-341-570038 Website: www.fisip.ub.ac.id Email: fisip@ub.ac.id

FORM PENDAFTARAN SCANNING PLAGIASI KARYA ILMIAH

LABORATORIUM KOMPUTER FISIP UB

NAMA : .........................................................................................................

NIM/NIP/NIK : .........................................................................................................

JURUSAN/PRODI : .........................................................................................................

EMAIL : .........................................................................................................

NO.HP : .........................................................................................................

NAMA DOSEN PEMBIMBING : 1. .....................................................................................................

2. .....................................................................................................

EMAIL DOSEN PEMBIMBING*: 1. .....................................................................................................

2. .....................................................................................................

JUDUL KARYA ILMIAH/ SKRIPSI/ TESIS/DISERTASI/ LAPORAN PENELITIAN/ LAPORAN

PENGABDIAN:

..........................................................................................................................................................

..........................................................................................................................................................

..........................................................................................................................................................

..........................................................................................................................................................

..........................................................................................................................................................

OPERATOR PEMOHON

SARAYA RAHMA A.,S.AB

*email dapat diisi kedua dosen pembimbing atau salah satu dosen pembimbing (khusus untuk Skripsi, Tesis dan Disertasi)