Universitas Gadjah Mada – Program Pascasarjana Fakultas Teknik
Program Studi S2 Teknik Geologi
FORMULIR PERMOHONAN DOSEN PEMBIMBING (Advisor Proposal Form)
Nama Mahasiswa : ______________________________________________ (Name)
NIM : ____________________________________ (Student No.)
Angkatan : ___________ (Academic Year)
Topik Penelitian : ______________________________________________________________
(Research Topic) ______________________________________________________________ ______________________________________________________________
Judul Sementara : ______________________________________________________________
(Tentative Title) ______________________________________________________________ ______________________________________________________________
______________________________________________________________
Pembimbing Utama : ____________________________________ (Advisor)
Pembimbing Pendamping I : ____________________________________ (Co-Advisor I)
Pembimbing Pendamping II : ____________________________________ (Co-Advisor II)
Yogyakarta, _ _ _ _ _ _ _ __ _ _
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Menyetujui
Pembimbing Utama Pembimbing Pendamping I Pembimbing Pendamping II
( _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ) ( _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ) ( _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ )
Menyetujui
Pengelola Program Studi S2 T. Geologi
