JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Pendaftaran Ujian Tertutup Disertasi
Silakan mengisi formulir ini menggunakan title case (huruf besar dan kecil), jika sudah selesai segera menghubungi Akademik Pascasarjana FTP UGM.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Nama Mhs
*
Your answer
NIM Lengkap
*
Your answer
Program Studi
*
Ilmu Pangan
Ilmu Teknik Pertanian
Teknologi Industri Pertanian
Judul Disertasi (isikan dengan huruf Besar di awal kata)
*
Your answer
Nama Promotor
*
Your answer
Nama Co-Promotor 1
*
Your answer
Nama Co-Promotor 2
*
Your answer
Nama Tim Penilai 1
*
Your answer
Pekerjaan Penilai 1
*
Your answer
Instansi Penilai 1
*
Your answer
Nama Tim Penilai 2
*
Your answer
Pekerjaan Penilai 2
*
Your answer
Instansi Penilai 2
*
Your answer
Nama Tim Penilai 3
*
Your answer
Pekerjaan Penilai 3
*
Your answer
Instansi Penilai 3
*
Your answer
Tanggal Mendaftar (Tanggal sekarang)
*
MM
/
DD
/
YYYY
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Universitas Gadjah Mada.
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report