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Surat Izin KKL
Mohon diisi sesuai dengan form yang sudah disediakan. Jika ada kendala, silakan hubungi TU (0857 0261 8252/Afifah) pada jam kerja (Senin-Sabtu pukul 08.00-14.00 WIB). Terimakasih.
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Nama Lengkap
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Your answer
NIM
*
Your answer
Email
*
Your answer
No. HP
*
Your answer
Tujuan Surat
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Tuliskan Instansi Tujuan Surat Izin KKL. Contoh: Kesbangpol Kota Surakarta
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Alamat Tujuan Surat
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Tuliskan Alamat Tujuan Surat Saudara
Your answer
Lokasi KKL
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Tuliskan Detail Lokasi KKL
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Tanggal Mulai Pelaksanaan KKL
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MM
/
DD
/
YYYY
Tanggal Selesai Pelaksanaan KKL
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MM
/
DD
/
YYYY
Jumlah Mahasiswa
*
Tuliskan Jumlah Mahasiswa yang Ikut KKL
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