JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Formulir Usulan Kebutuhan Buku Perpustakaan
Usulkan buku sesuai kebutuhan Anda untuk mendukung pembelajaran
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Nama Lengkap
*
Your answer
NM / NIP
*
Your answer
Jurusan
*
Choose
Jurusan Keperawatan
Jurusan Kebidanan
Jurusan Gizi
Jurusan Teknologi Laboratorium Medik
Program Studi
*
Choose
D-3 Keperawatan
D-3 Kebidanan
D-3 Gizi
D-4 Gizi
D-3 TLM
Email
*
Your answer
Nomor HP
*
Your answer
Judul Buku Yang Diusulkan
*
Your answer
Pengarang
*
Your answer
Penerbit
*
Your answer
Tahun Terbit
*
Your answer
Harga Buku
*
Your answer
Catatan / Pesan
*
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
