JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Surat Izin Program Pemberdayaan Umat (PRODAMAT)
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Kepada
*
Cth: HRD/ Pimpinan/ Kepala
Your answer
Alamat
*
Alamat Instansi
Your answer
Kabupaten
*
Kabupaten Instansi
Your answer
Provinsi
*
Provinsi Instansi
Your answer
Program Studi
*
S2 Informatika
S2 Teknik Kimia
Nama Ketua Kelompok
*
Your answer
No WA Ketua Kelompok
*
Your answer
NIM Ketua kelompok
*
Your answer
Nama mahasiswa 2
Your answer
NIM 2
Your answer
Nama Mahasiswa 3
Your answer
NIM 3
Your answer
Hari, tanggal
*
Contoh : Senin, 12 Mei 2023
Your answer
Pukul
*
07:00 - 15:00
Your answer
Tempat
*
Your answer
Judul Program
*
Your answer
Pembimbing 1
*
Your answer
Pembimbing 2
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Universitas Ahmad Dahlan Yogyakarta.
Report Abuse
Forms
