Post on 25-Feb-2018
7/25/2019 formulir usulan penelitian
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FAKULTAS KEDOKTERAN
UNIVERSITAS ANDALAS
FORMULIR USULAN PENELITIAN
NAMA : _________________________________________________
NO. BP : _________________________________________________RENCANA TOPIK PENELITIAN : (Diisi ketiga alte!ati"#ALTERNATIF I : _________________________________________________
ALTERNATIF II : _________________________________________________
ALTERNATIF III : _________________________________________________TANDA TAN$AN
PEMBIMBIN$ I : ____________________________ (___________________#
PEMBIMBIN$ II : ____________________________ (___________________#DISETU%UI
TOPIK PENELITIAN : ALTERNATIF _______
Pa&a!g' )*+
Ket,a Ti- Skisi MA/ASIS0A 1BS'
(Da. El-atis S2' MS# (#
NIP. *3+)4)5*366**))*