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KEMENTERIAN RISET, TEKNOLOGI, DAN PENDIDIKAN TINGGIUNIVERSITAS BRAWIJAYA
FAKULTAS PERIKANAN DAN ILMU KELAUTANJl. Veteran, Malang, 65145, Indonesia
Telp. +62-341-553512; Fax: +62-341-557837E-mail : [email protected] http://www.fpik.ub.ac.id
PENGAJUAN SURAT PENGANTARNama : ......................................................................................................................................
N I M : ......................................................................................................................................
Program Studi : .....................................................................................................................................
Jenis Surat : Pengantar PKL / PKM / Skripsi
Kredit Kumulatif : ......................................................................................................................................
I. P Kumulatif : ......................................................................................................................................
Nilai : KKN : PKL : Seminar :
Catatan :
I. Mempunyai Nilai D dalam Mata Kuliah :
1. .........................................................................................................................................................
2. .........................................................................................................................................................
3. .........................................................................................................................................................
II. Mempunayi Nilai E dalam Mata Kuliah :
1. .........................................................................................................................................................
2. .........................................................................................................................................................
3. .........................................................................................................................................................
III. Mengulang Mata Kulaiah Semester sekarang
1. ...........................................................................................................................................................
2. ...........................................................................................................................................................
3. ..........................................................................................................................................................
IV. Melampirkan KHS dan KRS asli semester terakhir.
V. Melampirkan transkrip dan foto copy nilai PKL, bagi yang mengajukan surat keterangan skripsi.
Malang, ......................................Yang Mengajukan,
___________________________NIM.