Formulir Hadir Qolokium

Gadjah Mada University – Faculty of Engineering
Graduate Program Departement of Geological Engineering
Form to Attend Qolokium Examination
Student Number________________________________________________________:
Name
N
o.

: __________________________________________________________
Date

Student Name Who Present
Qolokium

Thesis Title

Moderator
Signature

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2.

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Yogyakarta,
_____________________
Head of Graduate Program
Geological Engineering

Graduate Program Departement of Geological Engineering
Departement of Geological Engineering, Faculty of Engineering, Gadjah Mada University
Jl.Grafika No.2 Bulaksumur Yogyakarta 55281 Indonesia Phone/Fax +62 274 631181
Website: http://pasca.geologi.ugm.ac.id | E-mail: [email protected]

Gadjah Mada University – Faculty of Engineering

Graduate Program Departement of Geological Engineering
Form to Attend Qolokium Examination
Dr. Agung Harijoko, ST.,
M.Eng.

Graduate Program Departement of Geological Engineering
Departement of Geological Engineering, Faculty of Engineering, Gadjah Mada University
Jl.Grafika No.2 Bulaksumur Yogyakarta 55281 Indonesia Phone/Fax +62 274 631181
Website: http://pasca.geologi.ugm.ac.id | E-mail: [email protected]