BERITA ACARA PENYERAHAN TESIS
PROGRAM PASCASARJANA

Nama	: ...................................................................................................
Nomor Induk Mahasiswa	: ...................................................................................................
Semester	: ...................................................................................................
Program Studi	: Magister Pendidikan Matematika
Dosen Pembimbing Akademik	:....................................................................................................
Judul Tesis	: …………………………………………………………….................................... 
	 ……………………………………………………………..................................... 

Tesis telah diserahkan kepada  : 

1.	Program Studi	:  .......................................................... (……....................................)

2.	Perpustakaan 	: ……………………….................................  (…………………………........……..) 

3.	Program Pascasarjana	: ……………………….................................. (…………………………........……..)

Yogyakarta , ………………………… 
Yang menyerahkan 

							NIM :