<table style="font-family: Arial; font-size:10pt;" align="center" width="70%">

<tr>
<td><strong>MATA KULIAH (KODE)</strong></td>
<td>:</td>
<td><strong>PRA PENELITIAN 2 (TEK 70114)</strong>
</td>
</tr>
<tr>
<td><strong>KELAS</strong></td>
<td>:</td>
<td><strong>-</strong></td>
</tr>
<tr>
<td><strong>DOSEN PENGASUH</strong></td>
<td>:</td>
<td>
<strong>
<//strong>
</td>
</tr>
<tr>
<td><strong>JURUSAN</strong></td>
<td>:</td>
<td> <strong>
ILMU TEKNIK (S3) </strong> </td>
</tr>
<tr>
<td><strong>TAHUN AKADEMIK</strong></td>
<td>:</td>
<td> <strong>
2016/2017 (Genap) </strong> </td>
</tr>
</table>

<br />
<br />
<br />

<table cellpadding="5" cellspacing="0" style="font-family:

Arial; font-size:10pt;" border="1" align="center" width="100%">
<tr>
<th>NO.</th>

<th>N.I.M.</th>
<th>NAMA</th>
<th>TANDA TANGAN</th>
<th>KETERANGAN</th>
</tr>
<tr>
<td align="center">1.</td>

<td>
03043681621013 </td>
<td>BUDI SANTOSO</td>
<td></td>
<td></td>
</tr>
 </table>

<br />

<table align="center"cellpadding="0" cellspacing="0" width="90%" style="font-

family: Arial; font-size:10pt;">
<tr>

<td>&nbsp;</td>
<td align="right">Palembang, 02 Mei 2017</td>
</tr>
<tr>

<td> Pengawas I</td>

<td align="right">Pengawas II</td>

</tr>
<tr>
<td>&nbsp;</td>
<td>&nbsp;</td>
</tr>
<tr>
<td>&nbsp;</td>
<td>&nbsp;</td>
</tr>
<tr>

<td>................................</td>

<td align="right">................................</td>
</tr>
</table>