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Form permintaan Surat Tugas Pengabdian
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1. Nama lengkap ( dengan gelar )
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Your answer
2. NIDN/NIM ( Petunjuk: Tuliskan tanda petik didepan NIDN anda, contoh; '0714128008
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Your answer
3. Jabatan
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Your answer
4. Pengabdian dilaksanakan semester
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Ganjil
Genap
5. Tahun akademik pengabdian masyarakat
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Your answer
6. Judul/tema pengabdian masyarakat
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Your answer
7. Lokasi pengabdian masyarakat
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Your answer
8. Waktu pelaksanaan pengabdian masyarakat
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Your answer
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