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Panduan_Pelaksanaan_Penelitian_dan_PPM_Edisi_X_2016

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Lampiran 17.2 Format Halaman Pengesahan Proposal <strong>Penelitian</strong> Disertasi Doktor<br />

HALAMAN PENGESAHAN<br />

PENELITIAN DISERTASI DOKTOR<br />

Judul <strong>Penelitian</strong><br />

: ………………………………………………………………<br />

Judul Disertasi<br />

: ………………………………………………………………<br />

Kode/Nama Rumpun Ilmu : …………… / ………..………………………………………<br />

Peneliti<br />

Nama Lengkap<br />

: ………………………………………………………………<br />

NIDN<br />

: ………………………………………………………………<br />

Jabatan Fungsional<br />

: ………………………………………………………………<br />

Program Studi<br />

: ………………………………………………………………<br />

Nomor HP<br />

: ………………………………………………………………<br />

Alamat surel (e-mail)<br />

: ………………………………………………………………<br />

NIM<br />

: ………………………………………………………………<br />

Semester ke<br />

: ………………………………………………………………<br />

PT Penyelenggara<br />

: ………………………………………………………………<br />

Program Studi Doktor<br />

: ………………………………………………………………<br />

Nama Promotor<br />

: ………………………………………………………………<br />

NIDN Promotor<br />

: ………………………………………………………………<br />

Biaya yang Diusulkan ke DRPM : Rp …………….<br />

Mengetahui,<br />

Dekan/Ketua<br />

Kota, tanggal-bulan-tahun<br />

Ketua Peneliti,<br />

Tanda tangan<br />

(Nama Lengkap)<br />

NIP/NIK<br />

Menyetujui,<br />

Ketua LP/L<strong>PPM</strong><br />

Tanda tangan<br />

(Nama Lengkap)<br />

NIP/NIK<br />

Tanda tangan<br />

(Nama Lengkap)<br />

NIP/NIK<br />

PEDOMAN PENELITIAN DAN PENGABDIAN KEPADA MASYARAKAT EDISI X 286

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