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Form Pemutihan Perkuliahan Bagi Dosen
Form pemutihan perkuliahan bagi Dosen
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* Indicates required question
NAMA Dosen
*
Nama Lengkap Dosen , lengkap dengan Gelar
Your answer
Mata Kuliah
*
Your answer
Ruang / Kelas
*
Your answer
Fakultas
*
Fakultas Keperawatan
Required
Hari / Tanggal Pelaksanan Perkuliahan
*
MM
/
DD
/
YYYY
Jam Pelaksanaan
*
Time
:
AM
PM
Alasan melakukan Pemutihan Perkuliahan dikarenakan
*
Choose
Mati listrik
Gagal Koneksi ke jaringan
Perangkat HP/Laptop Eror
Pindah ruangan/kegiatan lapang
Lainnya .....................................
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