Makalah National Balsa Bridge Competition 2014CIVILIMMNama Jembatan

Fakultas Teknik Sipil dan PerencanaanInstitut Teknologi Indonesia2014

LEMBAR PENGESAHAN PESERTA BALSA BRIDGECOMPETITION 2014

1. Nama Tim : CIVILIMM 2. Nama Jembatan : Truss Bridge3. Nama Perguruan Tinggi : Institut Teknologi Indonesia 4. Nama Dosen Pembimbing : Ir. Rahmat Setyadi, MT.5. Nama Anggota Tim 1). Nama, NIM : Indra Pratama, 121.11.00072). Nama, NIM : Muchtar Al-anshori, 121.11.00183). Nama, NIM : Marsha Enrica, 121.11.00246. Alamat Perguruan Tinggi : Jl. Raya Puspiptek Serpong, Tangerang-Banten 15320 Telepon : ...................................... Faksimile : ...................................... E-mail : ......................................

................, April 2014

Mengetahui,

Ketua Jurusan Teknik Sipil Dosen Pembimbing

(............................) (...........................)NIP. NIP.

Menyetujui,Purek / Warek / Puket / Pudir Bidang Kemahasiswaan

(.........................................)NIP.

DATA DIRI PESERTA Nama Tim : CIVILIMMNama Jembatan : Truss Bridge Nama Perguruan Tinggi : ....................................... Alamat Perguruan Tinggi : ....................................... Telepon : ....................................... Faksimile : ....................................... E-mail : ....................................... Dosen Pembimbing NamaLengkap : ....................................... NIM : .......................................Jurusan/Prodi : ....................................... Alamat Rumah : ....................................... Telepon/Faksimile/HP : .......................................Mahasiswa 1 NamaLengkap : ....................................... NIM : ....................................... Jurusan/Prodi/Semester : ....................................... Alamat Rumah : ....................................... Telepon/Faksimile/HP : .......................................Mahasiswa 2 NamaLengkap : ....................................... NIM : .......................................Jurusan/Prodi/Semester : .......................................Alamat Rumah : .......................................Telepon/Faksimile/HP : ....................................... Mahasiswa 3 NamaLengkap : ....................................... NIM : ....................................... Jurusan/Prodi/Semester : .......................................AlamatRumah : .......................................Telepon/Faksimile/HP : .......................................