FORM SURAT IZIN DETERMINASI
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Email *
NIK (Nomor KTP) *
Judul Karya Tulis Ilmiah *
Tuliskan judul KTI anda
Nama Instansi Tujuan *
Tuliskan nama instansi tujuan surat
Alamat instansi tujuan *
Sebutan Pimpinan
Clear selection
Waktu Awal Penelitian *
MM
/
DD
/
YYYY
Waktu Akhir Penelitian *
MM
/
DD
/
YYYY
Dosen Pembimbing 1 *
Dosen Pembimbing 2 *
Bahan yang akad di determinasi *
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