Form 10 absensi sidang tugas akhir
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Certificate SMM ISO 9001;2008: ID 16/03476 dan IWA 2; 2007 Nama : .................................................... .................................................................... NIM : .................................................... .................................................................... Judul Tugas Akhir : .............................................. ...................................................... .................... .................................................... ...................................................... .............. .................................................... ...................................................... .............. Ruangan : .................................................... .................................................................... Hari/ Tanggal : ..................................................................... ................................................... Jam Pelaksanaan : ..................................................................... ................................................... CATATAN : Form ini mohon dikembalikan ke KOORDINATOR Selesai Sidang Tugas Akhir KEMENTERIAN RISET, TEKNOLOGI DAN PENDIDIKAN TINGGI POLITEKNIK NEGERI BENGKALIS JURUSAN TEKNIK SIPIL Jalan Bathin Alam, Sungai alam Bengkalis-Riau 28714 Telepon (0766) 24566, Faximile (0766) 800 1000 Laman: http//www.polbeng.ac.id FORMULIR 10 TA 2015/2016 ABSENSI SIDANG TUGAS AKHIR Diprint A4
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Transcript of Form 10 absensi sidang tugas akhir
Certificate SMM ISO 9001;2008: ID 16/03476 dan IWA 2; 2007
Nama : ........................................................................................................................
NIM : ........................................................................................................................
Judul Tugas Akhir : ........................................................................................................................
........................................................................................................................
........................................................................................................................
Ruangan : ........................................................................................................................
Hari/ Tanggal : ........................................................................................................................
Jam Pelaksanaan : ........................................................................................................................
No Nama Dosen Jabatan Sidang Tanda Tangan
1 Ketua Tim penguji
2 Sekretaris Tim Penguji
3 Anggota Tim Penguji
4 Anggota Tim Penguji
5 Anggota Tim Penguji
CATATAN : Form ini mohon dikembalikan ke KOORDINATOR Selesai Sidang Tugas Akhir
KEMENTERIAN RISET, TEKNOLOGI DAN PENDIDIKAN TINGGI POLITEKNIK NEGERI BENGKALIS
JURUSAN TEKNIK SIPIL Jalan Bathin Alam, Sungai alam Bengkalis-Riau 28714
Telepon (0766) 24566, Faximile (0766) 800 1000 Laman: http//www.polbeng.ac.id
FORMULIR 10 TA 2015/2016ABSENSI SIDANG TUGAS AKHIR
NB : Semua data diatas wajib diisi dengan lengkap oleh Mahasiswa (Menggunakan Tulisan Komputer), kecuali data yang berada di dalam tabel
Diprint A4
