ABCDEFGHIJKLMNOPQRSTUVWXYZ
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PLampiran
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Form Rekognisi MBKM
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No.NAMANIMFAKULTASPROGRAM STUDIProgram MBKM Semester Ganjil/Genap TA. 202.../202…NILAI MBKMMITRA MBKMREKOGNISI MATA KULIAH Dosen Mata KuliahKet
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Nama MK Kode MKSKS Jlh SKS MK RekognisiNilai HurufNilai AngkaNama
(tanpa gelar)		NIDN
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Dosen PA/Wali Akademik
Ka ProdiKoordinator MBKM
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( )( Dr. Ir. Evi Naria, M.Kes )( Risanti Febrine Ropita Situmorang, S.K.M.,M.Sc. )
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