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 Tanggal e-mail Alamat di Jogja

: ………………………………………………………………………………………… Masalah Solusi : ………………………………………………………………………………………… :

Tanda Tangan

…………………………………………………………………………………………DPA …………………………………………………………………………………………

Nama Orang Tua

:

…………………………………………………………………………………………

Alamat Orang Tua

:

…………………………………………………………………………………………

Mhs Foto Mahasiswa 3x4

………………………………………………………………………………………… No. Telp/HP Orang Tua

:

…………………………………………………………………………………………

Dosen Pembimbing

:

…………………………………………………………………………………………

Tanggal

Masalah

Solusi

Tanda Tangan DPA

Mhs

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