Form Revisi proposal Tesis br

KEMENTERIAN PENDIDIKAN DAN KEBUDAYAAN
UNIVERSITAS BRAWIJAYA
FAKULTAS TEKNIK
PROGRAM MAGISTER ARSITEKTUR LINGKUNGAN BINAAN (ALB)

S2

SURAT KETERANGAN REVISI
UJIAN PROPOSAL TESIS
Yang bertanda tangan dibawah ini, dosen Pembimbing dari mahasiswa Program Magister Arsitektur
Lingkungan Binaan Fakultas Teknik Universitas Brawijaya:
Nama

: ........................................................................

No. Mahasiswa

: ........................................................................

Program Magister

: ........................................................................

Kekhususan

: ........................................................................

Judul Proposal

: .................................................................................................................................

Tesis

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Tgl. Ujian Proposal : ........................................................................
Alamat Asal

: ........................................................................

Alamat di Malang

: ........................................................................

No. Telp./Hp

: ........................................................................

Telah revisi Proposal Tesisnya sesuai dengan permintaan.
Tim Pembimbing
NO.

NAMA LENGKAP

TANDA-TANGAN

1. Ketua

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2. Anggota

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3. Penguji

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4. Penguji

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Malang,
Mengetahui,
Ketua Program Magister Arsitektur Lingkungan Binaan

(Prof. Ir. Antariksa, M.Eng., Ph.D.)
NIP. 19570914 198503 1 002