FORM TA 01 Pendaftaran Pengambilan TA rev1

FORM TA-01

FORM PENDAFTARAN TUGAS AKHIR

Saya yang bertanda tangan di bawah ini
Nama Mahasiswa

: _____________________________________________

NIM

: _____________________________________________

Jurusan

:______________________________________________

Semester

: _____ Tahun Ajaran : 20____/20____


Jumlah SKS yang sudah diselesaikan

: ___ ( ____________________________)

Telah mengikuti ...........kali seminar hasil TA (Copy terlampir).
Mendaftar untuk melakukan Tugas Akhir dengan
tema/judul: ................................................................................................................
...................................................................................................................................
..................
Deskrpsi Tema secara garis
besar : .......................................................................................................................
...................................................................................................................................
...................................................................................................................................
...........

Surakarta, _____________ 2011
Pendaftar ,
________________________
NIM