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1/11

UNIVERSITAS JEMBER

FAKULTAS KEDOKTERAN GIGI

BADAN EKSEKUTIF MAHASISWA

UKMF LISMAJl.Kalimantan I/62 Jm!" 6#$$2$% tl& '())$* )))+26

HALAMAN PENGESAHAN

Kt,a-anitia S"ta"i

Khurin In Salma

NIM. $)$6$($($()$

Dhystika Zahrah Septania

NIM. $)$6$($($(0#

Mn1ta,i%

-"i3n BEM FKG UNEJ Kt,aUm,m UKMF LISMA

AsyiahHamasah

NIM. $$$6$($($(##

Cho irilFaiolAlam

NIM. $$$6$($($(2$

Mn4t,5,i%

-m!ant,Dan III

Fa,lta K3t"an Gi1i

Uni7"ita Jm!"

-m!ina UKMF Knian

8LISMA9

! r"# Happy Harmono$ M# Kes

NI-.$:6;(:($$::;(2$(($Pro%#Dr# !r"# IDA &atnaDe'anti $ M#Si

NI-.$:6#(+(2$::;($2(($


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P&(P(SALDies Natalies )KMF LISMAFAK)L*AS KED(K*E&AN GIGI

)NI+E&SI*AS ,EM-E&

I# LA*A& -ELAKANG

Di natali UKMF LISMA m",&aan a1n3a ",tin tia& ta,nn4a . -"in1atan a"i

lai" 'Di Natali* 3alam 5,mla !a" !,3a4a 3ian11a& !a1ai &"iti ,nt, "7italiai !,3a4a "1aniai

int"nal% ,!,n1an anta"a 3n 3an maai


3/11

UNIVERSITAS JEMBER




2.$Mita LISMA

2.0Mnin1atan "aa !"nianan11ta LISMA

2.+ Mn5alin ,!,n1an 3n1an ma4a"aat mlal,i !i3an1 nian

III# MANFAA*

Unt, mm&""atilat,"ami anta" ?i7ita aa3mia 3i FKG

Uni7"ita Jm!" 3an ma4a"aat ita" 3alam i %

= Lm!a Sinmat1"a>i

= Lm!a Tat"

= Lm!a M,i A,ti

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+# S)S)NAN PANI*IA

Terlampir

+I# S)S)NAN ACA&A

Terlampir

+II# ES*IMASI ANGGA&AN

Terlampir

+III# PEN)*)P

Dmiian &"&al 1iatanini ami ,,n. -a"tii&ai 3an

3,,n1an 3a"i m,a &ia ami !,t,an 3mi lan?a"an 3an

,an a?a"a ini.

Hal al 4an1 !l,m t"?ant,m 3alam &"&al ini aan

3iat," m,3ian. Sm1a 1iatan ini 3a&at !"man>aat !a1i !an1a

3an n1a"a In3nia 3an !a1i &n1m!an1an S,m!" Da4a Man,ia

In3nia 3i maa mn3atan1.

Jm!" %2( Ot!" 2($0

-ANITIA -ELAKSANA


5/11

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Lampiran 1 S)S)NAN KEPANI*IAAN

DIES NA*ALIES )KMF LISMA /012

FAK)L*AS KED(K*E&AN GIGI

)NI+E&SI*AS ,EM-E&

PELIND)NG

DanFa,ltaK3t"an Gi1i Uni7"itaJm!"

PENASEHA*

-m!ant,Dan III Fa,lta Gi1i Uni7"itaJm!"

PENANGG)NG ,A3A-

Kt,a BEM FKG Uni7"itaJm!"

Kt,a UKMF LISMA FKGUni7"itaJm!"


6/11

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PANI*IA PELAKSANA

Kt,a-laana @ K,"in In Salma

S"ta"i$ @ D4tia a"a S&tania

S"ta"i 2 @ Can A4,n1 Sa1ita

Bn3aa"a I @ A",m '$2$6$($($(6(*

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B. SEKSI -UBLIKASI DAN DOKUMENTASI

K"3inat" @ Ria DniM,4a">a

An11ta @ ImaDa A

A4,S,il

AnniaS,litiani


7/11

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A>>anH,3atama -

-"intiInana

I"a Laila

ItaK,"niataDaN,"5anna

An11ta @-,&an3a",N,"ImanFa3lil

Illna7iaSatiti

Al7in Anan3a


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EniIlmiatin A

D,atiMa4an1a"i

Amlia Ka"imanti

Sa"i


9/11

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S)S)NAN ACA&A DIES NA*ALIES )KMF LISMA /012

FAK)L*AS KED(K*E&AN GIGI

)NI+E&SI*AS ,EM-E&

,umat$ 4 Desem5er /012

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22.2(=22.)(-n1,m,man -mnan1 lm!a >"in3i& 3an

&n,t,&an a?a"a


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ANGGA&AN DANA

DIES NA*ALIES )KMF LISMA /012


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FAK)L*AS KED(K*E&AN GIGI )NI+E&SI*AS ,EM-E&

PEMASUKAN

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