Kartu Pembimbingan Akademik Pak Emil.docx

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KARTU PEMBIMBINGAN AKADEMIK Program Studi Teknik Sipil Universitas Muhammadiyah Yogyakarta Nama Mahasiswa

:

………………………………………………………………………………………...

NIM

:

…………………………………………………………………………………………

No. HP

:

…………………………………………………………………………………………

e-mail

:

…………………………………………………………………………………………

Alamat di Jogja

:

…………………………………………………………………………………………

Foto Mahasiswa 3x4

………………………………………………………………………………………… Nama Orang Tua

:

…………………………………………………………………………………………

Alamat Orang Tua

:

………………………………………………………………………………………… …………………………………………………………………………………………

No. Telp/HP Orang Tua

:

…………………………………………………………………………………………

Dosen Pembimbing

:

…………………………………………………………………………………………

Tanggal

Masalah

Solusi

Tanda Tangan DPA

Mhs

Tanggal

Masalah

Solusi

Tanda Tangan DPA

Mhs

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