Data Proposal PKM
Formulir ini berisi tentang kelengkapan data untuk peserta Program Kreatifitas Mahasiswa
Email address
1. JUDUL PROPOSAL PKM
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2. BIDANG KEGIATAN
3. KETUA PELAKSANA KEGIATAN
Nama
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NPM
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Jurusan/Program Studi
Your answer
Universitas/Institut/Politeknik
Alamat Rumah
Your answer
Nomor Telepon/HP
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Alamat Email
Your answer
4. ANGGOTA PELAKSANA KEGIATAN
Jumlah Anggota Pelaksana
Nama Anggota Pelaksana
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Nama Dosen Pendamping (Beserta Gelar)
Your answer
NIK/NIP/NPT
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Alamat Rumah
Your answer
Nomor Telepon/HP
Your answer
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