formulir wisuda diana

Upload: anna-diana

Post on 22-Feb-2018

217 views

Category:

Documents


0 download

TRANSCRIPT

  • 7/24/2019 Formulir Wisuda Diana

    1/1

    FORMULIR WISUDA

    ANGKATAN XXIII UNIVERSITAS, STMIK DAN AKPER ABULYATAMA

    NAMA :ROSDIANA.............................................................................

    NIM :11171121................................................................................

    PROGRAM STUDI :KEDOKTERAN UMUM..........................................................

    FAKULTAS :KEDOKTERAN.......................................................................

    TEMPAT/TANGGAL LAHIR :TUWIEUMPEUK 14 JULI 1993..............................................

    IPK :................................................................................................

    PREDIKAT : Memuaskan / Sangat Memuaskan

    NOMOR HP : ...............................................................................................

    TAHUN LULUS :................................................................................................

    TANGGAL LULUS :................................................................................................

    ASAL SMA/SEDERAJAT : SMAN 1 PANGA....................................................................

    JUDUL SKRIPSI :GAMBARAN PENGETAHUAN REMAJA PUTRI TENTANG

    KEPUTIHAN (FLUOR ALBUS PADA SISWI SMAN 1PANGA TAHUN 2!14

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

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

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

    PEMBIMBING I :T. M"#$%%$& S.'% M.S ) M.'*+...........................................

    PEMBIMBING II :&,. +-$ '$,-$.........................................................................

    NAMA ORANG TUA : B$$' : +%$-+ +)A0.............................................................

    I" : %"#$$.................................................................

    P*%5#5) 666........................2!1

    (6666666666.