Berkas Ijazah FTSP
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![Page 1: Berkas Ijazah FTSP](https://reader031.fdocuments.net/reader031/viewer/2022013108/557202e54979599169a440bc/html5/thumbnails/1.jpg)
YAYASAN PERGURUAN CIKINI
INSTITUT SAINS DAN TEKNOLOGI NASIONAL
FAKULTAS TEKNIK SIPIL DAN PERENCAN
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AAN
TANDA
TERIMA
KELENGK
APAN BIODATA
Telahditerimaberkas/persyaratanpermohonanpembuatanIjazahAslisbb:
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U
R
1. Forrnulir Surat Pernyataan
2.Foto CopyAkteKelahiran
3.
Foto
CopyIjaz
ah
Terakhir
( SLTA /
POLTEK
/ D III )
4. Fo
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ak
aia
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ukuran4 x 6 =
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ukuran3 x 4 =
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5. Ke
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Jakarta
,
………
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……
Yang
Meneri
ma
Yang
Menye
rahkan,
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(
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NamaMahasiswaSURA
T PERNYATA
AN
Saya yang bertanda tangan di bawah ini menyatakan Identitas diri untuk dijadikan sebagai biodata dalam penulisan ijazah setelah saya dinyata
![Page 11: Berkas Ijazah FTSP](https://reader031.fdocuments.net/reader031/viewer/2022013108/557202e54979599169a440bc/html5/thumbnails/11.jpg)
kan Lulus Sarjana, sbb :
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:
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Fakultas
: FakultasTeknikSipil Dan Peren
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canaan - ISTN
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dul Skripsi / TA
: ............................................................
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Judul Kerja Praktek
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Telp /
HP .........................
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Facebook : ..
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Email : ...................
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Telp /
Fax ........................
................................
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Demikianlah pernyataan ini saya buat dengan sebenar-benarnya dan saya bertanggung jawab atas keabsahannya.
Jakarta, ...............................................................................,.............................................................................................
Foto 3X4
![Page 31: Berkas Ijazah FTSP](https://reader031.fdocuments.net/reader031/viewer/2022013108/557202e54979599169a440bc/html5/thumbnails/31.jpg)
........S aya ya n g m e n yata kan,
tempel
materai Rp. 6000
Nama Lengkap
Catatan : Dilsi dengan KOMPUTER
Foto 3X4