Page 52 - Buku Pedoman penelitian dan PKM LPPM UKMC
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HALAMAN PENGESAHAN
PENELITIAN
Judul penelitian : .........................................................................
.........................................................................
.........................................................................
Ketua peneliti
a. Nama : ..........................................................................
b. NIDN/NIP : ..........................................................................
c. Jabatan/Golongan : ..........................................................................
d. Program Studi/Fakultas : ..........................................................................
e. Perguruan Tinggi : ..........................................................................
f. Bidang Keahlian : ..........................................................................
g. Nomor HP : ..........................................................................
h. Alamat email : ..........................................................................
Anggota peneliti 1
a. Nama : ..........................................................................
b. NIDN/NIP : ..........................................................................
c. Perguruan Tinggi : ..........................................................................
Anggota peneliti 2 :
a. Nama : ..........................................................................
b. NIDN/NIP : ..........................................................................
c. perguruan tinggi : ..........................................................................
Biaya penelitian : - Di usulkan ke ........... Rp. ..........................
Mengetahui Kota, tanggal-bulan-tahun
Dekan Ketua Tim Pengusul,
tanda tangan dan cap tanda tangan
Nama Lengkap Nama Lengkap
NIDN NIDN/NIK
Menyetujui,
Kepala LPPM
tanda tangan dan cap
Nama Lengkap
NIDN.
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