Formulir Peminjaman Laboratorium

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Formulir Peminjaman Laboratorium

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Email *

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Nama Lengkap *

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NIP/NIK/NPM

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Status

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Dosen

Karyawan

Mahasiswa

Dll

Unit Kerja

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No Telp

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Nama Ruang

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Lab Microteaching

Lab. MIPA

Lab. Seni Budaya/Musik

Lab.IPS/Bahasa Indonesia

Lab. MI

Kapasitas

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Tgl Peminjaman

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MM

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DD

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YYYY

Pukul Peminjaman

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Time

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AM

PM

Tgl Pengembalian

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MM

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DD

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YYYY

Pukul Pengembaliaan

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Time

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AM

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Kegiatan

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Kuliah

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