JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Form Pengajuan Survey Tugas Akhir (Skripsi)_24
1. Khusus untuk mahasiswa bidang SISTEM TENAGA dengan Tema Analisa atau Simulasi
2. Setelah mengisi form ini silahkan diinformasikan dengan mbak devi
https://wa.me/qr/5MIBHHMTGB2KJ1
untuk waktu silahkan dikordinasikan pengambilan suratnya.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Password
*
Your answer
Nama_Perusahaan
Your answer
Alamat_Perusahaan
Your answer
No Telp, contoh : (031) 70007000
Your answer
Lama_Survey
1 (satu) Bulan
2 (dua) Bulan
3 (tiga) Bulan
4 (empat) Bulan
Clear selection
Mulai_tanggal, contoh : 10 Februari - 10 Maret 2020
Your answer
Judul_Penelitian_Tugas_Akhir
Your answer
Nama_Mahasiswa
Your answer
Npm_Mahasiswa
Your answer
No Hp Mahasiswa
Your answer
Data Survey yg Diperlukan ke-1
Your answer
Data Survey yg Diperlukan ke-2
Your answer
Data Survey yg Diperlukan ke-3
Your answer
Data Survey yg Diperlukan ke-4
Your answer
Data Survey yg Diperlukan ke-5
Your answer
Data Survey yg Diperlukan ke-6
Your answer
Data Survey yg Diperlukan ke-7
Your answer
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This form was created inside of Institut Teknologi Adhi Tama Surabaya.
Report Abuse
Forms
