buku kendali pembimbingan skripsi program...
TRANSCRIPT
Jl. Raya Siman Km. 5 Siman, Ponorogo Jawa Timur Telp/Fax : 0352 48762, 0352 488182
Web site : unida.gontor.ac.id Email : [email protected]
Fountain of Wisdom
BUKU KENDALI PEMBIMBINGAN SKRIPSI
PROGRAM SARJANA
Nama : ....................................................................
NIM : ....................................................................
Fakultas/Prodi : ....................................................................
Buku Kendali Pembimbingan Skripsi| i
KATA PENGANTAR
Pembimbingan mahasiswa merupakan salah satu komponen proses
pembelajaran yang ada di Universitas Darussalam Gontor. Buku Pembimbingan
Mahasiswa ini merupakan salah satu upaya untuk mengarahkan dan membimbing
mahasiswa dalam menyususn rencana penelitian pada skripsi. Buku Pembimbingan
Mahasiswa ini dibuat sebagai salah satu monitoring dalam proses penyelesaiaan skripsi
sehingga akan menjamin terselenggaranya proses pembimbingan yang berkualitas.
Buku Pembimbingan Mahasiswa ini diberikan kepada Mahasiswa Program
Sarjana sejak memperoleh SK Dosen Pembimbing dan selalu dibawa dan dipergunakan
pada saat konsultasi dan interaksi dengan dosen pembimbing. Buku ini dikembalikan
pada saat mengajukan ujian skripsi.
Semoga Buku Pembimbingan ini dapat bermanfaat bagi mahasiswa, dosen, dan
pengelola pendidikan sarjana prodi. Atas kesediaan para dosen pembimbing mengisis
Buku Pembimbingan Mahasiswa ini, disampaikan terima kasih.
Ponorogo, Mei 2017
Tim Penyusun
Buku Kendali Pembimbingan Skripsi| ii
DAFTAR ISI
Kata Pengantar ................................................................................................... ii
Daftar Isi ............................................................................................................. iii
Data Mahasiswa ................................................................................................. iv
Catatan Konsultasi ............................................................................................. 1
Konsultasi Penentuan Judul .......................................................................... 2
Konsultasi Penyusunan Proposal Skripsi ....................................................... 5
Konsultasi Persiapan Seminar Proposal Skripsi ............................................. 11
Konsultasi Pelaksanaan Penelitian Skripsi .................................................... 14
Konsultasi Persiapan Ujian Skripsi ................................................................ 25
Contoh Formulir ................................................................................................. 32
Formulir Rekomendasi dari BAAK .................................................................. 33
Formulir Pengajuan Judul Skripsi .................................................................. 34
Formulir Kesediaan Dosen Pembimbing Skripsi ........................................... 35
Formulir Penunjukan Pembimbing Skripsi .................................................... 36
Formulir Contoh SK Pembimbing Skripsi ...................................................... 37
Formulir Permohonan Izin Penelitian ........................................................... 39
Formulir Lembar Penilaian Seminar Proposal Skripsi ................................... 40
Formulir Berita Acara Ujian Skripsi ............................................................... 41
Formulir Lembar Revisi Skripsi ...................................................................... 42
Buku Kendali Pembimbingan Skripsi| iii
DATA MAHASISWA
Nama Lengkap : ...................................................................
Nama Panggilan : ..................................................................
NIM : ..................................................................
Program Studi : .................................................................
Fakultas : ....................................................................................
Alamat Asal : ....................................................................................
Telepon : ....................................................................................
No HP : ....................................................................................
Pembimbing : ....................................................................................
: ....................................................................................
Judul Penelitian : ....................................................................................
....................................................................................
....................................................................................
....................................................................................
....................................................................................
....................................................................................
pas foto 3 x 4
Buku Kendali Pembimbingan Skripsi| 2
Jenis Kegiatan : Konsultasi Penentuan Judul Skripsi
Tanggal Konsultasi : ___________________________________________________
Tempat/Lokasi : ___________________________________________________
Uraian Ringkas Hasil Konsultasi
______________________________________________________________________
______________________________________________________________________
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______________________________________________________________________
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______________________________________________________________________
Tindak Lanjut oleh Mahasiswa
______________________________________________________________________
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______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
Ponorogo, ______________________
Dosen Pembimbing,
_______________________________
Buku Kendali Pembimbingan Skripsi| 3
Jenis Kegiatan : Konsultasi Penentuan Judul Skripsi
Tanggal Konsultasi : ___________________________________________________
Tempat/Lokasi : ___________________________________________________
Uraian Ringkas Hasil Konsultasi
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
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Tindak Lanjut oleh Mahasiswa
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Ponorogo, ______________________
Dosen Pembimbing,
_______________________________
Buku Kendali Pembimbingan Skripsi| 4
Jenis Kegiatan : Konsultasi Penentuan Judul Skripsi
Tanggal Konsultasi : ___________________________________________________
Tempat/Lokasi : ___________________________________________________
Uraian Ringkas Hasil Konsultasi
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
Tindak Lanjut oleh Mahasiswa
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
Ponorogo, ______________________
Dosen Pembimbing,
_______________________________
Buku Kendali Pembimbingan Skripsi| 5
Jenis Kegiatan : Konsultasi Penyusunan Proposal Skripsi
Tanggal Konsultasi : ___________________________________________________
Tempat/Lokasi : ___________________________________________________
Uraian Ringkas Hasil Konsultasi
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
Tindak Lanjut oleh Mahasiswa
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
Ponorogo, ______________________
Dosen Pembimbing,
_______________________________
Buku Kendali Pembimbingan Skripsi| 6
Jenis Kegiatan : Konsultasi Penyusunan Proposal Skripsi
Tanggal Konsultasi : ___________________________________________________
Tempat/Lokasi : ___________________________________________________
Uraian Ringkas Hasil Konsultasi
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
Tindak Lanjut oleh Mahasiswa
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
Ponorogo, ______________________
Dosen Pembimbing,
_______________________________
Buku Kendali Pembimbingan Skripsi| 7
Jenis Kegiatan : Konsultasi Penyusunan Proposal Skripsi
Tanggal Konsultasi : ___________________________________________________
Tempat/Lokasi : ___________________________________________________
Uraian Ringkas Hasil Konsultasi
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
Tindak Lanjut oleh Mahasiswa
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
Ponorogo, ______________________
Dosen Pembimbing,
_______________________________
Buku Kendali Pembimbingan Skripsi| 8
Jenis Kegiatan : Konsultasi Penyusunan Proposal Skripsi
Tanggal Konsultasi : ___________________________________________________
Tempat/Lokasi : ___________________________________________________
Uraian Ringkas Hasil Konsultasi
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
Tindak Lanjut oleh Mahasiswa
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
Ponorogo, ______________________
Dosen Pembimbing,
_______________________________
Buku Kendali Pembimbingan Skripsi| 9
Jenis Kegiatan : Konsultasi Penyusunan Proposal Skripsi
Tanggal Konsultasi : ___________________________________________________
Tempat/Lokasi : ___________________________________________________
Uraian Ringkas Hasil Konsultasi
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
Tindak Lanjut oleh Mahasiswa
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
Ponorogo, ______________________
Dosen Pembimbing,
_______________________________
Buku Kendali Pembimbingan Skripsi| 10
Jenis Kegiatan : Konsultasi Persiapan Seminar Proposal Skripsi
Tanggal Konsultasi : ___________________________________________________
Tempat/Lokasi : ___________________________________________________
Uraian Ringkas Hasil Konsultasi
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
Tindak Lanjut oleh Mahasiswa
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
Ponorogo, ______________________
Dosen Pembimbing,
_______________________________
Buku Kendali Pembimbingan Skripsi| 11
Jenis Kegiatan : Konsultasi Persiapan Seminar Proposal Skripsi
Tanggal Konsultasi : ___________________________________________________
Tempat/Lokasi : ___________________________________________________
Uraian Ringkas Hasil Konsultasi
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
Tindak Lanjut oleh Mahasiswa
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
Ponorogo, ______________________
Dosen Pembimbing,
_______________________________
Buku Kendali Pembimbingan Skripsi| 12
Jenis Kegiatan : Konsultasi Persiapan Seminar Proposal Skripsi
Tanggal Konsultasi : ___________________________________________________
Tempat/Lokasi : ___________________________________________________
Uraian Ringkas Hasil Konsultasi
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
Tindak Lanjut oleh Mahasiswa
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
Ponorogo, ______________________
Dosen Pembimbing,
_______________________________
Buku Kendali Pembimbingan Skripsi| 13
Jenis Kegiatan : Konsultasi Persiapan Seminar Proposal Skripsi
Tanggal Konsultasi : ___________________________________________________
Tempat/Lokasi : ___________________________________________________
Uraian Ringkas Hasil Konsultasi
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
Tindak Lanjut oleh Mahasiswa
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
Ponorogo, ______________________
Dosen Pembimbing,
_______________________________
Buku Kendali Pembimbingan Skripsi| 14
Jenis Kegiatan : Konsultasi Pelaksanaan Penelitian Skripsi
Tanggal Konsultasi : ___________________________________________________
Tempat/Lokasi : ___________________________________________________
Uraian Ringkas Hasil Konsultasi
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
Tindak Lanjut oleh Mahasiswa
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
Ponorogo, ______________________
Dosen Pembimbing,
_______________________________
Buku Kendali Pembimbingan Skripsi| 15
Jenis Kegiatan : Konsultasi Pelaksanaan Penelitian Skripsi
Tanggal Konsultasi : ___________________________________________________
Tempat/Lokasi : ___________________________________________________
Uraian Ringkas Hasil Konsultasi
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
Tindak Lanjut oleh Mahasiswa
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
Ponorogo, ______________________
Dosen Pembimbing,
_______________________________
Buku Kendali Pembimbingan Skripsi| 16
Jenis Kegiatan : Konsultasi Pelaksanaan Penelitian Skripsi
Tanggal Konsultasi : ___________________________________________________
Tempat/Lokasi : ___________________________________________________
Uraian Ringkas Hasil Konsultasi
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
Tindak Lanjut oleh Mahasiswa
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
Ponorogo, ______________________
Dosen Pembimbing,
_______________________________
Buku Kendali Pembimbingan Skripsi| 17
Jenis Kegiatan : Konsultasi Pelaksanaan Penelitian Skripsi
Tanggal Konsultasi : ___________________________________________________
Tempat/Lokasi : ___________________________________________________
Uraian Ringkas Hasil Konsultasi
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
Tindak Lanjut oleh Mahasiswa
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
Ponorogo, ______________________
Dosen Pembimbing,
_______________________________
Buku Kendali Pembimbingan Skripsi| 18
Jenis Kegiatan : Konsultasi Pelaksanaan Penelitian Skripsi
Tanggal Konsultasi : ___________________________________________________
Tempat/Lokasi : ___________________________________________________
Uraian Ringkas Hasil Konsultasi
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
Tindak Lanjut oleh Mahasiswa
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
Ponorogo, ______________________
Dosen Pembimbing,
_______________________________
Buku Kendali Pembimbingan Skripsi| 19
Jenis Kegiatan : Konsultasi Pelaksanaan Penelitian Skripsi
Tanggal Konsultasi : ___________________________________________________
Tempat/Lokasi : ___________________________________________________
Uraian Ringkas Hasil Konsultasi
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
Tindak Lanjut oleh Mahasiswa
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
Ponorogo, ______________________
Dosen Pembimbing,
_______________________________
Buku Kendali Pembimbingan Skripsi| 20
Jenis Kegiatan : Konsultasi Pelaksanaan Penelitian Skripsi
Tanggal Konsultasi : ___________________________________________________
Tempat/Lokasi : ___________________________________________________
Uraian Ringkas Hasil Konsultasi
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
Tindak Lanjut oleh Mahasiswa
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
Ponorogo, ______________________
Dosen Pembimbing,
_______________________________
Buku Kendali Pembimbingan Skripsi| 21
Jenis Kegiatan : Konsultasi Pelaksanaan Penelitian Skripsi
Tanggal Konsultasi : ___________________________________________________
Tempat/Lokasi : ___________________________________________________
Uraian Ringkas Hasil Konsultasi
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
Tindak Lanjut oleh Mahasiswa
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
Ponorogo, ______________________
Dosen Pembimbing,
_______________________________
Buku Kendali Pembimbingan Skripsi| 22
Jenis Kegiatan : Konsultasi Pelaksanaan Penelitian Skripsi
Tanggal Konsultasi : ___________________________________________________
Tempat/Lokasi : ___________________________________________________
Uraian Ringkas Hasil Konsultasi
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
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______________________________________________________________________
______________________________________________________________________
Tindak Lanjut oleh Mahasiswa
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
Ponorogo, ______________________
Dosen Pembimbing,
_______________________________
Buku Kendali Pembimbingan Skripsi| 23
Jenis Kegiatan : Konsultasi Pelaksanaan Penelitian Skripsi
Tanggal Konsultasi : ___________________________________________________
Tempat/Lokasi : ___________________________________________________
Uraian Ringkas Hasil Konsultasi
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
Tindak Lanjut oleh Mahasiswa
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
Ponorogo, ______________________
Dosen Pembimbing,
_______________________________
Buku Kendali Pembimbingan Skripsi| 24
Jenis Kegiatan : Konsultasi Persiapan Ujian Skripsi
Tanggal Konsultasi : ___________________________________________________
Tempat/Lokasi : ___________________________________________________
Uraian Ringkas Hasil Konsultasi
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
Tindak Lanjut oleh Mahasiswa
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
Ponorogo, ______________________
Dosen Pembimbing,
_______________________________
Buku Kendali Pembimbingan Skripsi| 25
Jenis Kegiatan : Konsultasi Persiapan Ujian Skripsi
Tanggal Konsultasi : ___________________________________________________
Tempat/Lokasi : ___________________________________________________
Uraian Ringkas Hasil Konsultasi
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
Tindak Lanjut oleh Mahasiswa
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
Ponorogo, ______________________
Dosen Pembimbing,
_______________________________
Buku Kendali Pembimbingan Skripsi| 26
Jenis Kegiatan : Konsultasi Persiapan Ujian Skripsi
Tanggal Konsultasi : ___________________________________________________
Tempat/Lokasi : ___________________________________________________
Uraian Ringkas Hasil Konsultasi
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
Tindak Lanjut oleh Mahasiswa
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
Ponorogo, ______________________
Dosen Pembimbing,
_______________________________
Buku Kendali Pembimbingan Skripsi| 27
Jenis Kegiatan : ___________________________________________________
Tanggal Konsultasi : ___________________________________________________
Tempat/Lokasi : ___________________________________________________
Uraian Ringkas Hasil Konsultasi
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
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______________________________________________________________________
Tindak Lanjut oleh Mahasiswa
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
Ponorogo, ______________________
Dosen Pembimbing,
_______________________________
Buku Kendali Pembimbingan Skripsi| 28
Jenis Kegiatan : ___________________________________________________
Tanggal Konsultasi : ___________________________________________________
Tempat/Lokasi : ___________________________________________________
Uraian Ringkas Hasil Konsultasi
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
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______________________________________________________________________
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______________________________________________________________________
Tindak Lanjut oleh Mahasiswa
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
Ponorogo, ______________________
Dosen Pembimbing,
_______________________________
Buku Kendali Pembimbingan Skripsi| 29
Jenis Kegiatan : ___________________________________________________
Tanggal Konsultasi : ___________________________________________________
Tempat/Lokasi : ___________________________________________________
Uraian Ringkas Hasil Konsultasi
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
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Tindak Lanjut oleh Mahasiswa
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______________________________________________________________________
______________________________________________________________________
Ponorogo, ______________________
Dosen Pembimbing,
_______________________________
Buku Kendali Pembimbingan Skripsi| 30
Jenis Kegiatan : ___________________________________________________
Tanggal Konsultasi : ___________________________________________________
Tempat/Lokasi : ___________________________________________________
Uraian Ringkas Hasil Konsultasi
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
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______________________________________________________________________
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Tindak Lanjut oleh Mahasiswa
______________________________________________________________________
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______________________________________________________________________
______________________________________________________________________
Ponorogo, ______________________
Dosen Pembimbing,
_______________________________
Buku Kendali Pembimbingan Skripsi| 31
Jenis Kegiatan : ___________________________________________________
Tanggal Konsultasi : ___________________________________________________
Tempat/Lokasi : ___________________________________________________
Uraian Ringkas Hasil Konsultasi
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
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Tindak Lanjut oleh Mahasiswa
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Ponorogo, ______________________
Dosen Pembimbing,
Buku Kendali Pimbingan Skripsi| 33
Formulir 1. Rekomendasi dari BAAK تزكية من مكتب شؤون الطلبة واألكاديمية
تزكية رسالة
في تقديم مقترح البحث العلمي
دار السالم كونتور أن: ةيشهد مكتب شؤون الطلبة واألكاديمية جامع
: الطالب
: رقم القيد
: محل االقامة األصلي
: مة الحاليمحل االقا
: القسم
: الكلية
ساعة 021 : عدد الساعة المعتمدة الموصولة
: ..................... بالتفاصيل اآلتي: المهملةالمعتمدة عدد الساعة
: الفصل الدراسي األول
: الفصل الدراسي الثاني
: عومجم
: موضوع البحث
همه األمر.لتقديمه إلى من يإذ يشهد المكتب بذلك
فونوروكو، .....................
مدير المكتب،
ريان رمضان جايوسمان الماجستير
KOP BIRO ADMINISTRASI AKADEMIK KEMAHASISWAAN
UNIVERSITAS DARUSSALAM GONTOR
Buku Kendali Pimbingan Skripsi| 34
RECOMMENDATION
SUBMISSION OF THESIS TITLE
Bureau of Academic and Student Affairs hereby declares that:
Name : _______________________________________
Student ID Number : _______________________________________
Home address : _______________________________________
Current address : _______________________________________
_______________________________________
Department : _______________________________________
Faculty : _______________________________________
Pased semester credits : 120
Failed semester credits : … the details are as follows:
Odd semester : …
Even semester : …
Total : …
Proposed Thesis Title : _______________________________________
_______________________________________
_______________________________________
Hereby this recommendation is made truthfully and to be used accordingly
Approved by,
Head of Bureau of Academic and Student Affairs
Royyan Ramdhani Djayusman, M.A.
BUREAU OF ACADEMIC AND STUDENT AFFAIRS
UNIVERSITAS DARUSSALAM GONTOR
Buku Kendali Pimbingan Skripsi| 35
REKOMENDASI
PENGAJUAN JUDUL SKRIPSI
Bersama ini, Biro Administrasi Akademik Kemahasiswaan Universitas Darussalam
Gontor menerangkan bahwa:
Nama : _______________________________________
Nomor Induk Mahasiswa : _______________________________________
NIM : _______________________________________
Alamat asal : _______________________________________
Alamat Sekarang : _______________________________________
_______________________________________
Program Studi : _______________________________________
Fakultas : _______________________________________
Jumlah sks yang telah lulus : 120 sks
Jumlah sks yang belum lulus : sks, dengan rincian sbb
Semester Ganjil : sks
Semester Genap : sks
Jumlah : sks
Rencana judul skripsi : _______________________________________
_______________________________________
_______________________________________
Demikian rekomendasi ini dibuat agar dapat dipergunakan sebagaimana mestinya.
Ponorogo, _____________________
Ketua BAAK
Royyan Ramdhani Djayusman, M.A.
KOP BIRO ADMINISTRASI AKADEMIK KEMAHASISWAAN
UNIVERSITAS DARUSSALAM GONTOR
Buku Kendali Pimbingan Skripsi| 36
Formulir 2. Pengajuan Judul Skripsi
بيانات تقديم مقترح البحث
أدناه: / أنا الموقعة أنا الموقع
: االسم
: القيد دفتر رقم
: قسمال
: كليةال
: البريد االلكتروني
: الهاتف
كونتور: بجامعة دار السالم إتمام الدراسةشروط أقدم موضوع البحث العلمي استفاء لبعض
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________
فونوروكو، ......،.......،......
الطالب
_______________
رقم دفتر القيد:
الموافقة
مدير مركز أسلمة المعرفة االقتصاد االسالمي رئيس قسم
جامعة دار السالم كونتور
خالد مصلح االستاذ الدكتور االستاذ ريان رمضاني جايوسمان
KOP PROGRAM STUDI
Buku Kendali Pimbingan Skripsi| 37
Form for Submission of Thesis Title
I the undersigned,
Name : ...............................................................................................
Student ID Number ...............................................................................................
Department :...............................................................................................
Faculty :...............................................................................................
Email :...............................................................................................
Phone : ...............................................................................................
I hereby submit my thesis title as follows:
……………………………………………………………………………………………
……………………………………………………………………………………………
……………………………………………………………………………………………
……………………………………………………………………………………………
Ponorogo , ………………………
Student Signature,
____________________
NIM...........................
Approved by,
Head of Department
____________________
NIY......................
Known by,
Team of Islamization of Science
____________________
NIY...................
LETTERHEAD OF DEPARTMENT
Buku Kendali Pimbingan Skripsi| 38
FORMULIR PENGAJUAN JUDUL SKRIPSI
Yang bertanda tangan di bawah ini,
Nama : ...............................................................................................
NIM : ...............................................................................................
Program Studi : ...............................................................................................
Fakultas : ...............................................................................................
Email : ...............................................................................................
No. HP : ...............................................................................................
Dengan ini mengajukan Skripsi dengan Judul sebagai berikut:
……………………………………………………………………………………………
……………………………………………………………………………………………
……………………………………………………………………………………………
……………………………………………………………………………………………
Ponorogo , ………………………
Pemohon,
____________________
NIM..........................
Menyetujui,
Ketua Program Studi
____________________
NIY......................
Mengetahui,
Tim Islamisasi Ilmu Pengetahuan
____________________
NIY...................
KOP PROGRAM STUDI
Buku Kendali Pimbingan Skripsi| 39
Formulir 3. Kesediaan Dosen Pembimbing Skripsi
موافقة المشرفإقرار بيانات
:/ أنا الموقعة أذناه أنا الموقع أدناه
: االسم
: رقم التوظيف
: محل االقامة
: رقم الهاتف
: لبريد االلكترونيا
في االشراف على الرسالة األخيرة التي )غير مستعدة( / غير مستعد )مستعدة( مستعدأقر بأني
سيكتبها الطالب / ستكتبها الطالبة:
: االسم
: رقم دفتر القيد
: القسم
: الكلية
: موضوع الرسالة
.هذا، وتفضل بقبول فائق االحترام ولكم مني جزيل الشكر
كونتور، .......،.......حريرا بت
،/ المشرفة المشرف
/ ألف ليلية الماجستير الدكتور فاجار فرامونو الماجستير
KOP PROGRAM STUDI
Buku Kendali Pimbingan Skripsi| 40
STATEMENT OF WILLINGNESS
I the undersigned,
Name : …………………………………………………………………
NIY : …………………………………………………………………
Address : …………………………………………………………………
Phone : …………………………………………………………………
Email : …………………………………………………………………
is willing to be the thesis consultant for the student named below:
Name : …………………………………………………………………
Student ID Number : …………………………………………………………………
Department : …………………………………………………………………
Faculty : ………………………………………………………………..
Proposed Thesis Title : …………………………………………………………………
…………………………………………………………………
…………………………………………………………………
Hereby this statement is made truthfully and to be used accordingly.
……………….., …………20.....
Signature,
…………………………………
LETTERHEAD OF DEPARTMENT
Buku Kendali Pimbingan Skripsi| 41
LEMBAR PERNYATAAN KESEDIAAN
DOSEN PEMBIMBING SKRIPSI
Yang bertanda tangan di bawah ini :
Nama Dosen : …………………………………………………………………
NIY : …………………………………………………………………
Alamat : …………………………………………………………………
No HP : …………………………………………………………………
Email : …………………………………………………………………
Menyatakan bersedia / tidak bersedia *) menjadi Pembimbing Skripsi atas nama
mahasiswa yang tersebut di bawah ini :
Nama : …………………………………………………………………
NIM : …………………………………………………………………
Program Studi : …………………………………………………………………
Fakultas : ………………………………………………………………..
Judul : …………………………………………………………………
…………………………………………………………………
…………………………………………………………………
Demikian surat pernyataan saya buat agar dapat dipergunakan sebagaimana mestinya.
……………….., …………20.....
Yang menyatakan,
…………………………………
KOP PROGRAM STUDI
Buku Kendali Pimbingan Skripsi| 42
Formulir 4. Penunjukan Pembimbing Skripsi
: الرقيم
: المرفقات
: االلتماس االشراف على الرسالة األخيرة الشأن
السيد الفاضل: الدكتور محمد فاجار فرامونو الماجستير
بجامعة دار السالم كوتور
السالم عليكم ورحمة هللا وبركاته
،تحية طيبة وبعد
م كونتور بالتماسكم لالشراف فيتشرف رئيس قسم تعليم اللغة العربية بكلية التربية جامعة دار السال
على الرسالة األخيرة للطالب / للطالبة:
: االسم
: رقم دفتر القيد
: الكلية
: موضوع الرسالة
هذا وتفضلوا بقبول فائق االحترام ولكم مني جزيل الشكر.
والسالم عليكم ورحمة هللا وبركاته
فونوروكو، ...........،...........
اللغة العربيةرئيس قسم تعليم
ألف تجيا سيتيادي الماجستير
KOP PROGRAM STUDI
Buku Kendali Pimbingan Skripsi| 43
No :
Annexes : 2 Ex
Subject : Request To:
Bismillahirrahmanirrohiim.
Assalamu’alaikumWr.Wb.
Regarding the Appointment of thesis consultant approval form, We–International
Relations Department, Faculty of Humanity, Universitas Darussalam Gontor would like to
request the willingness of Mr / Ms……. to guide the development of the thesis proposal,
supervise the research, and provide feedback on the written thesis by the student named
below:
Student ID Number : …………………………………………………………………
Department : …………………………………………………………………
Faculty : ………………………………………………………………..
Proposed Thesis Title :. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
We look forward to a positive confirmation, an honor for us indeed. Thank you for your
consideration.
Wassalamu’alaikumWr.Wb.
Head of ………..Department
(………………………………)
LETTERHEAD OF DEPARTMENT
Buku Kendali Pimbingan Skripsi| 44
No :
Lamp :
Hal : Permohonan Kesediaan Membimbing Skripsi Kepada Yth. _______________ di – Tempat
Bismillahirrahmanirrohiim.
Assalamu’alaikum Wr.Wb.
Ketua Program Studi …………………………., Fakultas …………………………….,
Universitas Darussalam Gontor, mengharap kesediaan Bapak/Ibu untuk menjadi
Pembimbing Skripsi bagi Mahasiswa :
Nama : . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
NIM : . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Program Studi : . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Fakultas : . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Judul Skripsi : . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Demikian surat ini disampaikan, semoga dapat menjadikan maklum adanya, dan
atas kesediaannya disampaikan terima kasih.
Wassalamu’alaikum Wr.Wb.
Ponorogo, ……………………….
Ketua Program Studi
………………..
(………………………………)
KOP PROGRAM STUDI
Buku Kendali Pimbingan Skripsi| 45
Formulir 5. Contoh SK Dosen Pembimbing
DECREE
Dean of Faculty of...................................
UNIVERSITAS DARUSSALAM GONTOR
No : ……………………..
The Determination of Thesis Consultant
Odd/Even Semester
Academic Year …..
Considering : a. That in order to fulfill the requirement to achieve a bachelor degree for the
students of Faculty ……….of University of Darussalam Gontor ........... is
needed coaching
b. That for the smoothness in carrying out consultation and examination
mentioned in letter a above, it is necessary to appoint the consultant team
c. That for the reason in item b, it is necessary to stipulate by Dean’s decision of
Faculty ............ Universitas Darussalam Gontor
Recalling : 1. Law of the Republic of Indonesia Number 20 Year 2003 on National
Education System
2. Law of the Republic of Indonesia Number 12 Year 2012 on Higher Education
3. Minister's Decision No.232/U/2000 Minister of Higher Education Guidelines
for Curriculum Development and Assessment of Student Learning Outcomes
4. Decree of Minister of Education and Culture Number 197 / E / O/2014
regarding the Permission of Establishment of Darussalam University Gontor
Ponorogo.
5. Statuta of Universitas Darussalam Gontor Ponorogo
6. Decree of Rector of UNIDA Gontor Number ....... Year ......... on Guidelines
for Thesis Preparation / Final Student's Task) Universitas Darussalam Gontor
Establishing Assigning :
First : Appoint and assign to his / her name in the appendix of this decision as thesis
consultant team of Faculty .................... Universitas Darussalam Gontor .......
academic year …
.
Second : Assign the team as the first dictum to guide thesis in …..semester, academic
year .............. organized by Faculty of........... Universitas Darussalam Gontor .
Third : This decree shall come into force since it was set. If there is a mistake in its
determination, it will be fixed as it should
Ponorogo.
Dean of Faculty of
……,
NIY Cc
1. Vice Dean for Academic Affairs
2. Head of Department
3. Consultants
4. Concerned
KOP FAKULTAS
Buku Kendali Pimbingan Skripsi| 46
Appendix
The Dean of Faculty of ........................ Universitas Darussalam Gontor
No : ..............................
THESIS CONSULTANTS
FACULTY OF……
UNIVERSITAS DARUSSALAM GONTOR
No Consultants Position Student’s Name Thesis Title
1 Dr. Muh. Fajar Pramono, M.Si.
NIY. 960121
Consultant I Muslim
NIM. 362015621054
2 Muhammad Nur Kholis,
M.Si.
NIY. 150491
Consultant II
Approved by,
The Dean of Faculty of………
NIY
Buku Kendali Pimbingan Skripsi| 47
K E P U T U S A N
DEKAN FAKULTAS …………………………….
UNIVERSITAS DARUSSALAM GONTOR
Nomor : ……………………..
Tentang
PENETAPAN DOSEN PEMBIMBING SKRIPSI/TUGAS AKHIR
SEMESTER GASAL/GENAP
TAHUN AKADEMIK ……/……….
Menimbang : a. Bahwa untuk memenuhi persyaratan dalam meraih gelar kesarjanaan bagi
mahasiswa Fakultas ........... Universitas Darussalam Gontor perlu
dilaksanakan pembimbingan
b. Bahwa untuk kelancaran dalam melaksanakan pembimbingan dan ujian
skripsi tersebut pada huruf a diatas, perlu diangkat Tim Pembimbing
c. Bahwa utnuk maksud tersebut butir b diatas, perlu ditetapkan dengan
Keputusan Dekan Fakultas ............ Universitas Darussalam Gontor
Mengingat : 1. Undang-undang Republik Indonesia Nomor 20 Tahun 2003 tentang Sistem
Pendidikan Nasional
2. Undang-undang Republik Indonesia Nomor 12 Tahun 2012 tentang
Pendidikan Tinggi
3. Keputusan Menteri Pendidikan Nasional Republik Indonesia Nomor
232/U/2000 tentang Pedoman Peyusunan Kurikulum Pendidikan Tinggi dan
Penilaian Hasil Belajar Mahasiswa.
4. Keputusan Menteri Pendidikan dan Kebudayaan Republik Indonesia Nomor
197/E/O/2014 tentang izin Pendirian Universitas Darussalam Gontor
Ponorogo.
5. Statuta Universitas Darussalam Gontor Ponorogo
6. SK. Rektor UNIDA Gontor No. ................ tentang Pedoman
penyusunan Skripsi/Tugas Akhir Mahasiswa) Universitas Darussalam
Gontor
MEMUTUSKAN
Menetapkan :
Pertama : Menunjuk dan menugaskan kepada namanya tersebut dlam lampiran keputusan
ini sebagai Tim Pembimbing Skripsi Mahasiswa pada Fakultas....................
Universitas Darussalam Gontor semester ....... tahun akademik..............
Kedua : Menugaskan Tim tersebut diktum pertama untuk membimbing skripsi pada
semester ....... tahun akademik.............. yang diselenggarakan oleh Fakultas
........... Universitas Darussalam Gontor
Ketiga : Keputusan ini berlaku sejak ditetapkan dengan ketentuan apabila dikemudian
hari ternyata terdapat kekeliruan dalam penetapan ini akan diperbaiki
sebagaimana mestinya.
Ditetapkan : di Ponorogo
Pada tanggal :
Dekan,
NIY Tembusan
1. Pembantu Dekan Bidang Akademik
2. Ketua Program Studi
3. Dosen Pembimbing
4. Yang bersangkutan
KOP FAKULTAS
Buku Kendali Pimbingan Skripsi| 48
Dekan Fakultas ........................ Universitas Darussalam Gontor
Nomor : ..............................
DAFTAR NAMA TIM PEMBIMBING SKRIPSI
FAKULTAS ............................. UNIVERSITAS DARUSSALAM GONTOR
SEMESTER ................. TAHUN AJARAN
No Nama Dosen Jabatan Nama Mahasiswa Judul Skripsi
1 Dr. Muh. Fajar Pramono, M.Si.
NIY. 960121
Pembimbing I Muslim
NIM. 362015621054
2 Muhammad Nur Kholis, M.Si.
NIY. 150491
Pembimbing II
Ditetapkan : di Ponorogo
Pada tanggal :
Dekan,
NIY
Buku Kendali Pimbingan Skripsi| 49
Formulir 6. Permohonan Izin Penelitian
1.
No :
Annexes :
Subject : Request
To.
Kepala Balai Penelitian Aneka Kacang dan Umbi (BALITKABI) Malang
Assalamu’alaikum wr wb
In order to support educational programs and lectures in University Darussalam
Gontor, every single student is required to conduct research that must be fulfilled as
one of the requirements in completing his/her study.
Regarding that matter, we may please be allowed to do research in
BALITKABI. The students carrying out the research are as follows
Name : Ihsan Ramadhan
Student ID Number : 352014630906
Department : Agro-Technology
Faculty : Science and Technology
Time : July to November 2017
Research :Growth and Yield of Soybean Cultivars under
Biofertilizer Application
We hope you will be able to accept our request and thank you very much for your
consideration.
Wassalamu’alaikum wr wb
Head of .......
_____________________
NIY. ............................
Cc:
1. Dean of Faculty of Science and Technology, UNIDA Gontor
2. Supervisor
LETTERHEAD OF DEPARTMENT
Buku Kendali Pimbingan Skripsi| 50
2.
Nomor : Ponorogo, 7 Mei 2017
Lampiran :
Hal : Permohonan Izin Penelitian
Kepada Yth.
Kepala Balai Penelitian Aneka Kacang dan Umbi (BALITKABI) di Malang
Assalamu’alaikum wr wb
Dengan Hormat,
Dalam rangka mendukung program pendidikan dan kegiatan perkuliahan di
Universitas Darussalam Gontor bahwa setiap mahasiswa dalam menyelesaikan studinya
diwajibkan melakukan penelitian untuk skripsi yang harus dipenuhi sebagai salah satu
syarat dalam menyelesaikan studinya.
Sehubungan dengan hal tersebut kami mohon kiranya dapat diperkenankan
untuk melakukan penelitian di BALITKABI. Adapun mahasiswa yang akan
melaksanakan penelitian sebagai berikut:
Nama : Ihsan Ramadhan
NIM : 352014630906
Program Studi : Agroteknologi
Fakultas : Sains dan Teknologi
Waktu : Juli s.d November 2017
Judul Penelitian : Growth and Yield of Soybean Cultivars under Biofertilizer
Application
Demikian disampaikan atas perhatian dan kerja samanya kami ucapakan terima kasih.
Wassalamu’alaikum wr wb
Ketua Program Studi
.......................................................
_____________________
NIY. ............................ Tembusan : 1. Dekan Fakultas Sains dan Teknologi, UNIDA Gontor
2. Dosen Pembimbing
KOP PROGRAM STUDI
Buku Kendali Pimbingan Skripsi| 51
Formulir 6. Lembar Penilaian Seminar Proposal Skripsi
بيانات نتيجة تقديم مقترح البحث
: االسم
: رقم دفتر القيد
: موضوع مقترح البحث
: المشرف
النتيجة النسبة المئوية عناصر التقييم
01 جودة مقترح البحث
21 جودة تقديم المقترح
21 اللغة
21 المناقشة
011 مجموع
: التاريخ
: المشرف
: التوقيع
KOP PROGRAM STUDI
Buku Kendali Pimbingan Skripsi| 52
EVALUATION CRITERIA
Student ID Number : ........................................................................................
Name : ........................................................................................
Title of Thesis Proposal : ........................................................................................
........................................................................................
........................................................................................
Consultant : ........................................................................................
Assessment
Components
Percentage
Score
Proposal Quality 40
Presentation 20
Use of Language 20
Discussion 20
Total 100
Grade based on overall evaluation
Place and date :
Consultant :
Signature
:
LETTERHEAD OF DEPARTMENT
Buku Kendali Pimbingan Skripsi| 53
LEMBAR PENILAIAN SEMINAR PROPOSAL SKRIPSI
NIM : ........................................................................................
Nama Mahasiswa : ........................................................................................
Judul Proposal Skripsi : ........................................................................................
........................................................................................
........................................................................................
Dosen Pembimbing : ........................................................................................
Komonen Penilaian Persentase Nilai
Kulitas Proposal 40
Penyampainan 20
Bahasa 20
Diskusi 20
Total 100
Huruf
Tanggal Penilaian :
Nama Pembimbing :
Tanda Tangan
:
KOP PROGRAM STUDI
Buku Kendali Pimbingan Skripsi| 54
Formulir 7 Berita Acara Ujian Skripsi
متحان الرسالةإتقرير لجنة
: االسم
: رقم دفتر القيد
: القسم
: الكلية
لجنة امتحان الرسالة:
رئيس لجنة االمتحان
:.......................................................... لطفيا ديتيا الماجستير
سكريتر لجنة االمتحان
....................................................:....... نيكين تريسنانينعروم الماجستير
الممتحن األول
:........................................................... ألف ليلة الماجستير
الممتحن الثاني
:........................................................... حارس سيتيلنينعروم الماجستير
GROWTH AND YIELD OF SOYBEAN CULTIVARS UNDER : وضوع الراسلةم
BIOFERTILIZER APPLICATION
: اليوم / التاريخ
: الساعة
: ناجح / راسب بتقدير : النتيجة
............تحريرا بكونتور، .............،
رئيس لجنة امتحان الرسالة
لطفيا ديتيا الماجستير
KOP PROGRAM STUDI
Buku Kendali Pimbingan Skripsi| 55
LEGITIMATION OF THE BOARD OF EXAMINERS
Name : Ihsan Ramadhan
Student ID Number : 33.2014.223456
Department :
Faculty :
This thesis has been approved by the board of thesis examiners of ...... Department,
Faculty of ........., Universitas Darussalam Gontor, Ponorogo, on
Signature Board of Examiners
Chairperson
Lutfy Ditya C., S.P., M.P
Secretary
Niken Trisnaningrun, S.P., M.Si
Examineer
Alfu Laila, S.P., M.Sc
Examineer
Haris Setyaningrum, S.Si., M.Sc
Thesis :
GROWTH AND YIELD OF SOYBEAN CULTIVARS UNDER
BIOFERTILIZER APPLICATION
Date : June 12, 2015
Time : 11.00-12.30
The Final Grade : Pass/Not Pass Grade : ............................................
Chairperson,
Lutfy Ditya C., S.P., M.P
NIY. ...................................
LETTERHEAD OF DEPARTMENT
Buku Kendali Pimbingan Skripsi| 56
BERITA ACARA UJIAN SKRIPSI
Nama : Ihsan Ramadhan
No. Mahasiswa : 33.2014.223456
Program Studi :
Fakultas :
Dewan Penguji :
Tanda Tangan Dewan Penguji
Ketua
Lutfy Ditya C., S.P., M.P
Sekretaris
Niken Trisnaningrun, S.P., M.Si
Anggota 1
Alfu Laila, S.P., M.Sc
Anggota 2
Haris Setyaningrum, S.Si., M.Sc
Judul Skripsi :
GROWTH AND YIELD OF SOYBEAN CULTIVARS UNDER
BIOFERTILIZER APPLICATION
Hari,Tanggal ujian : Rabu, 12 Juni 2015
Waktu : 11.00-12.30 WIB
Dengan hasil (nilai huruf) : Tidak lulus/Lulus dengan nilai : ............................................
Ponorogo, 12 Juni 2015
Ketua Dewan Penguji
Lutfy Ditya C., S.P., M.P
NIY. ...................................
KOP PROGRAM STUDI
Buku Kendali Pimbingan Skripsi| 57
Formulir 8. Lembar Revisi Skripsi
بيانات اصالحات الرسالة
: االسم
: رقم دفتر القيد
: موضوع الرسالة
االصالح الباب / الصفحة الرقم
: آخر موعد تسليم
لجنة امتحان الرسالة:
رئيس لجنة االمتحان
..:........................................................ لطفيا ديتيا الماجستير
سكريتر لجنة االمتحان
:........................................................... نيكين تريسنانينعروم الماجستير
الممتحن األول
:........................................................... ألف ليلة الماجستير
الممتحن الثاني
:........................................................... حارس سيتيلنينعروم الماجستير
KOP PROGRAM STUDI
Buku Kendali Pimbingan Skripsi| 58
Student ID Number : ................................................................................
Name : ................................................................................
Thesis : ................................................................................
................................................................................
................................................................................
No Chapter/Page Revision Concept
Last Revision Date:
Signature Board of Examiners
Chairperson
Lutfy Ditya C., S.P., M.P
Secretary
Niken Trisnaningrun, S.P., M.Si
Examineer
Alfu Laila, S.P., M.Sc
Examineer
Haris Setyaningrum, S.Si., M.Sc
LETTERHEAD OF DEPARTMENT
Buku Kendali Pimbingan Skripsi| 59
NIM : ................................................................................
Nama Mahasiswa : ................................................................................
Judul Skripsi : ................................................................................
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No BAB /HALAMAN KONSEP PERBAIKAN
Revisi terakhir tanggal :
Tanda Tangan Dewan Penguji
Ketua
Lutfy Ditya C., S.P., M.P
Sekretaris
Niken Trisnaningrun, S.P., M.Si
Anggota 1
Alfu Laila, S.P., M.Sc
Anggota 2
Haris Setyaningrum, S.Si., M.Sc
KOP PROGRAM STUDI