8/18/2019 Form Judul

1/5

Kepada :

Yth. Ketua Sekolah Tinggi Ilmu Ekonomi BantenDi –

T e m p a t.

Dengan hormat, Yang bertanda tangan di bawah ini :

N a m a : ………………………………………

Tempat Tgl. Lahir : ....................................................

N P M : ....................................................

Konsentrasi : ....................................................

Instansi : ........................................................................

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Dengan ini sa a menga!"#an permohonan "nt"# mendapat#an Dosen

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sebagai beri#"t :

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Mahasiswa,

MengetahuiKetua

H.E.R. Taufik,Ph.D

8/18/2019 Form Judul

2/5

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8/18/2019 Form Judul

3/5

Kepada :

Yth. Ketua Sekolah Tinggi Ilmu Ekonomi BantenDi –

T e m p a t.

Dengan hormat, Yang bertanda tangan di bawah ini :

N a m a : ………………………………………

Tempat Tgl. Lahir : ....................................................

N P M : ....................................................

Konsentrasi : ....................................................

Instansi : ........................................................................

.......

Dengan ini sa a menga!"#an permohonan "nt"# mendapat#an Dosen

Pembimbing $#ripsi, dan sa a a!"#an p"la % &d"a' b"ah !"d"l s#ripsi

sebagai beri#"t :

No Judul Skripsi

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

%. ......................................................................................................

.........

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.........

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

.........

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

.........

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

.........Demi#ian s"rat permohonan ini sa a a!"#an, atas perhatian )apa#

sa a "*ap#an terima #asih.

$erang, ........................................%

+(-

Mahasiswa,

Mengetah"i,a#il Ket"a II

/.0ida at, $.Pd, $1.M.$i

8/18/2019 Form Judul

4/5

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8/18/2019 Form Judul

5/5