JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Surat Perbaikan Nilai
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Nama Lengkap
*
Gunakan huruf kapital, contoh : SALISATUL MAGHFIROH
Your answer
NIM
*
Your answer
Semester
*
Choose
I (satu)
II (dua)
III (tiga)
IV (empat)
V (lima)
VI (enam)
VII (tujuh)
Mata Kuliah 1
Mata Kuliah (1)
*
Gunakan huruf kapital, contoh : PANCASILA
Your answer
Semester (1)
*
Choose
I (satu)
II (dua)
III (tiga)
IV (empat)
V (lima)
VI (enam)
VII (tujuh)
Nilai Awal (1)
*
Choose
C
D
E
T
Mata Kuliah 2
Mata Kuliah (2)
Gunakan huruf kapital, contoh : PANCASILA
Your answer
Semester (2)
Choose
I (satu)
II (dua)
III (tiga)
IV (empat)
V (lima)
VI (enam)
VII (tujuh)
Nilai Awal (2)
Choose
C
D
E
T
Mata Kuliah 3
Mata Kuliah (3)
Gunakan huruf kapital, contoh : PANCASILA
Your answer
Semester (3)
Choose
I (satu)
II (dua)
III (tiga)
IV (empat)
V (lima)
VI (enam)
VII (tujuh)
Nilai Awal (3)
Choose
C
D
E
T
Tanggal Permohonan
*
Contoh : 2 Januari 2021
Your answer
Sebelum dikirim, pastikan data yang diisi sudah sesuai
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
