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PROPOSAL KEGIATAN MAHASISWA:

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

TAHUN 2016

1SENAT/BEM/

HIMA/BSO/UPKBadan Eksekutif Mahasiswa (BEM)

2 Bidang PSDM

3 Kod. !a"a# RBA$% Kosongi dulu

4 &'d'" Kgia(an .....................................

5 K('a P"a)*ana .....................................No. Hp = .....................................

Alamat email = .....................................

K('a Bidang/

Pnangg'ng +a,a-

Kgia(an

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

No. Hp = .....................................

Alamat email = .....................................

!La(a B"a)ang

Kgia(an

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

" T'+'an Kgia(an .....................................

# Indi)a(o K-a*i"an .....................................

1$ K"o#o) Sa*aan .....................................

11 Wa)(' P"a)*anaan

%a&i dan tanggal .....................................

Pukul .....................................

'eat .....................................

12

Rinian Anggaan

Png"'aan'otal Bia*a (+.)

Su,e& Dana (+.)

Kont&i,usi Pese&ta-

Swada*a

+B /K (B0P'

PBP)Su,e&

B. Ad#ini*(a*i .....................................

B. Naa S'#- .....................................

B. Ma(i P(#'an/

)ao*/ *n(a*i..................................... ........................... ........................... .............

B. Kon*'#*i ..................................... ........................... ........................... .............

onta6t Pe&son7 naa sek&e (no h)

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B. !o)'#n(a*i 3

o(a*..................................... ........................... ........................... .............

B. Tan*o(a*i ..................................... ........................... ........................... .............

B. A)o#oda*i4

P'-"i)a*i 3 !)oa*i..................................... ........................... ........................... .............

B. Aaa/)*nian ..................................... ........................... ........................... .............

&'#"a dana ang

di'*'")an8 B

13

$$% Rinian Pndanaan S'#- Lain

Da&i +B (haus kolo ini 9ika tidak die&lukan) ...........

Da&i Dana :saha - Kont&i,usi Pese&ta (,isa ilih salah satu atau keduan*a) ..........

Diintakan Su,sidi ke +ekto&at (haus kolo ini 9ika tidak die&lukan) ..............

*) Aa-i"a Kgia(an (*-'( *'da (an('# da"a# RBA

Sea&ang 15 Ma&et 2$1

Mengetahui

Men*etu9ui

atatan 7

1. Penulisan noinal engikuti atu&an da&i /K setelah ;+< diikuti titik ;.< 'ana sasi. ontoh 7 +.15$.$$$$$

2. oinal ada kode *g te&tulis 8 ha&us saa dengan noinal =B=

onta6t Pe&son7 naa sek&e (no h)

Ketua Bidang PSDM

BEM /K :ndi

Mega Kuala Put&i

>M 22$1$11412$$1!

Ketua KMMD

/adhlan +ahan E.

>M 22$1$11413$15"

Ketua

SM /K :ndi

/ull* sandita % .

>M22$1$11314$113

Ketua

BEM /K :ndi

+i?ki +udwi P&adesta

>M 22$1$11313$15

Pe,antu Dekan >>>/akultas Kedokte&an

:ni@e&sitas Dionego&o

D+. d&. wal P&aset*o M.Kes S. '%'AK

>P 1#!1$$2 1##!$2 1 $$1

Ketua Panitia

.

>M $$$$$$$$$$$$$$$