KEMENTERIAN RISET, TEKNOLOGI, DAN PENDIDIKAN TINGGI UNIVERSITAS BRAWIJAYA FAKULTAS PERIKANAN DAN ILMU KELAUTAN Jl. Veteran, Malang, 65145, Indonesia Telp. +62-341-553512; Fax: +62-341-557837 E-mail : [email protected] http://www.fpik.ub.ac.id PENGAJUAN SURAT PENGANTAR Nama : ......................................................... N I M : ......................................................... Program Studi : ........................................................ Jenis Surat : Pengantar PKL / PKM / Skripsi Kredit Kumulatif....................................................... : I. P Kumulatif :........................................................ Nilai : KKN : PKL : Seminar : Catatan : I. Mempunyai Nilai D dalam Mata Kuliah : 1. ................................................................ 2. ................................................................ 3. ................................................................ II. Mempunayi Nilai E dalam Mata Kuliah : 1. ................................................................ 2. ................................................................ 3. ................................................................ III. Mengulang Mata Kulaiah Semester sekarang 1. ..................................................................... ..................................................................... ................. 2. ..................................................................... ..................................................................... ................. 3. ..................................................................... ..................................................................... ................ IV. Melampirkan KHS dan KRS asli semester terakhir. V. Melampirkan transkrip dan foto copy nilai PKL, bagi yang mengajukan surat keterangan skripsi. Malang, ........................... ........... Yang Mengajukan,