KEMENTERIAN RISET, TEKNOLOGI DAN PENDIDIKAN TINGGIUNIVERSITAS BRAWIJAYA

FAKULTAS PERIKANAN DAN ILMU KELAUTAN Jalan Veteran Malang – 65145, Indonesia

Telp. +62-0341-553512, Fax. +62-0341-557837E-mail : faperik@ub.ac.id http://www.fpik.ub.ac.id

HASIL UJIAN TUGAS PKLNama / NIM : ...........................................................................................................................

Program Studi : ...........................................................................................................................

Judul : ...........................................................................................................................

Yang dilaksanakan pada : ..........................................................................................................................

Hari : ...........................................................................................................................

Tanggal : ...........................................................................................................................

Jam : ...........................................................................................................................

Tempat : Ruang Sidang Ujian ( R. .......... ) Fakultas Perikanan dan Ilmu Kelautan Universitas Brawijaya.

Oleh Majelis Penguji dinyatakan LULUS / TIDAK LULUS *)REVISI / TIDAK REVISI *)

Dengan Nilai = ( .................................................... )

No N A M A D O S E N TANDA TANGAN1

2

Malang, ............................

Mengetahui,Ketua Jurusan, .................

____________________________NIP.