UNIVERSITAS NEGERI

SEMARANG

FORMULIR No.Dokumen FM-Lab Bio-16

REKRUTMEN ASISTEN

No. Revisi 00

Tanggal Berlaku 01 Maret 2013

Halaman 1 dari 1

Nama Calon Asisten : ............................................................................................................

NIM : ............................................................................................................

Semester : ............................................................................................................

IPK Sementara : ............................................................................................................

No HP : ............................................................................................................

No Mata Kuliah

Praktikum

Nilai Hari Waktu

Unit

laboratorium Keterangan

Teori Praktikum

NB : Melampirkan KHS yang memuat nilai mata kuliah yang bersangkutan.

Semarang, .

Calon Asisten

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NIM.