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PANDUAN PENGISIAN FORMULIR PENDAFTARANCommunication Student Summit 2014 : Call For Paper1. Pengisian formulir menggunakan huruf kapital.2. Peserta mengisi kotak keterangan karya, identitas universitas, data peserta.3. Sertakan pas foto berwarna ukuran 3x4 cm di tempat yang telah disediakan.4. Pemberitahuan Informasi akan di berikan melalui nomor handphone / email ketua tim

5. Batas akhir pengumpulan form dan abstrak sampai dengan tanggal 4 April 2014 dan dikirim melalui email ke [email protected] PENDAFTARAN PESERTACALL FOR PAPER: INNOVATION ON MOBILE CULTURECOMMUNICATION STUDENT SUMMIT

DEPARTEMEN ILMU KOMUNIKASI

UNIVERSITAS AIRLANGGA

Surabaya, 16 18 MEI 2014Diisi Panitia

Pro

Keterangan Karya

Indentitas Universitas

Data Peserta Call For Paper

1. Jelaskan mengapa timmu berkeinginan mengikuti Call For Paper yang diselenggarakan oleh Departemen Ilmu Komunikasi Universitas Airlangga. (Maks. 250 kata)

................................................................................................................................................................................................................................................................................................................................................ ................................................................................................................................................................................................................................................................................................................................................ ................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................ ........................................................................................................................................................................ .................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................Apakah inovasi dari timmu yang nantinya akan direalisasikan ketika menang dalam acara ini? Tuliskan abstraksimu. (300-500 kata)................................................................................................................................................................................................................................................................................................................................................ ................................................................................................................................................................................................................................................................................................................................................ ........................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................ ........................................................................................................................................................................ ........................................................................................................................................................................ .........................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................*Lengkapi formulir pendaftaran ini dan dapat dikirim ke [email protected] sampai tanggal 4 April 2014.Tanggal pendaftaran Nomor Pendaftar

Judul Karya

Kata Kunci Abstraksi

Nama Universitas

Alamat Universitas

Telepon / E-mail Universitas

Website Universitas

Nama Lengkap:

Jenis kelamin:

Tempat / Tgl Lahir:

Fakultas / NPM:

Jurusan / Prodi:

Angkatan:

No handphone:

Alamat E mail:

Ketua Tim

Nama Lengkap:

Jenis kelamin :

Tempat / Tgl Lahir:

Fakultas / NPM:

Jurusan / Prodi:

Angkatan:

No handphone:

Alamat E mail:

Anggota 1

Nama Lengkap:

Jenis kelamin :

Tempat / Tgl Lahir:

Fakultas / NPM:

Jurusan / Prodi:

Angkatan:

No handphone:

Alamat E mail:

Anggota 2