data pribadi mahasiswa · web viewfakultas : ekonomi jurusan : manajemen program studi :...

DATA PRIBADI MAHASISWA

A. MAHASISWANama Lengkap : ……………………………………………..NIM : ……………………………………………..Fakultas : EkonomiJurusan : ManajemenProgram Studi : Strata Satu (S1)Tempat Tanggal Lahir : ......................................................................Kabupaten/Kota : ......................................................................Propinsi : ......................................................................Kewarganegaraan/Suku : ......................................................................Jenis Kelamin : ......................................................................Ciri-ciri :a. Warna Kulit : ......................................................................b. Bentuk Wajah : ......................................................................c. Warna Rambut : ......................................................................d. Ciri khas lainnya : ……………………………………………..Agama : ……………………………………………..Golongan Darah : ......................................................................Alamat Rumah : ......................................................................a. Jalan : ......................................................................b. RT/RW : ......................................................................c. Kode Pos : ......................................................................d. Nomor Telepon : ......................................................................Alamat Permanen : ......................................................................a. Jalan : ......................................................................b. RT/RW : ......................................................................c. Kode Pos : ......................................................................d. Nomor Telepon : ......................................................................Status Sipil : Kawin/Belum Kawin/Duda/JandaStatus Tempat Tinggal : Keluarga/ Sendiri/ Kost/AsramaPendidikan : ......................................................................a. Sekolah Dasar : ......................................................................b. Alamat Sekolah : ......................................................................c. Tahun Lulus : ......................................................................d. SLTP : ......................................................................e. Alamat Sekolah : ......................................................................f. Tahun Lulus : ......................................................................g. SLTA : ......................................................................h. Alamat Sekolah : ......................................................................i. Tahun Lulus : ......................................................................Kursus-Kursus/Pelatihan : ......................................................................

...................................................................... ......................................................................

Anak ke : ............dari jumlah saudara.................orangStatus Perkawainan : ......................................................................Nama Istri/Suami : ......................................................................Tempat dan tanggal lahir : ......................................................................Pendidikan : ......................................................................Penghasilan : ......................................................................Jumlah Anak : .............................................................orangPekerjaan Mahasiswa : ......................................................................Penghasilan : ......................................................................Alamat Pekerjaan : ......................................................................

B. ORANG TUA MAHASISWANama Ayah : ......................................................................Tempat dan Tanggal Lahir : ......................................................................Pekerjaan : ......................................................................Alamat : ......................................................................Nama Ibu : ......................................................................Tempat dan Tanggal Lahir : ......................................................................Pekerjaan : ......................................................................Alamat : ......................................................................

C. DOSEN PEMBIMBING AKADEMIKNama Lengkap : ......................................................................Tempat Tanggal Lahir : ......................................................................Pendidikan : ......................................................................Alamat : ......................................................................

......................................................................

Dosen PA

(.......................................)

Mahasiswa

(......................................)Mengetahui

Ketua Jurusan

Gratias RM, SE, MM

KARTU RENCANA STUDI(KRS)

NO KODE MK MATA KULIAH SKS DOSEN KET

1

2

3

4

5

6

7

8

9

10

11

12

Jumlah

Lahat,............................20

Dosen PA

(.......................................)

Mahasiswa

(......................................)Mengetahui

Ketua Jurusan

Gratias RM, SE, MMKARTU PERUBAHAN RENCANA STUDI

(KPRS)

NO KODE MK MATA KULIAH SKS Ke DOSEN

1

2

3

4

5

6

7

8

9

10

11

12

Jumlah

Lahat,............................20

Dosen PA

(.......................................)

Mahasiswa

(......................................)Mengetahui

Ketua Jurusan

Gratias RM, SE, MMKARTU REKOMENDASI

Nama : ..............................................................................................NIM : ..............................................................................................Jurusan : ..............................................................................................Program Studi : ..............................................................................................

Mata Kuliah/Masalah : ..............................................................................................Sandi MK/Masalah : ..............................................................................................

NO KEPADA KETERANGAN

Lahat,............................20

Dosen PA

(.......................................)

Mahasiswa

(......................................)Mengetahui

Ketua Jurusan

Gratias RM, SE, MM

*)Digunakan apabila mahasiswa yang bersangkutan membutuhkan konsultasi dengan pihak lain.

LEMBAR KONSULTASI MAHASISWA


NO HARI/TANGGALMASALAH

YANG DIBICARAKAN

SARAN DPA PARAF

1

2

3

4

5

6

7

8

9

10

11

12

Catatan :

....................................................................................................................................

....................................................................................................................................

....................................................................................................................................

....................................................................................................................................

DAFTAR HADIR TATAP MUKA KONSULTASI


NO HARI/TANGGAL MASALAH KONSULTASI

TANDA TANGAN KET

1

2

3

4

5

6

7

8

9

10

11

12

Lahat,............................20

Dosen PA

(.......................................)

Mahasiswa

(......................................)Mengetahui

Ketua Jurusan

Gratias RM, SE, MMDAFTAR ANGGOTA KELOMPOK MAHASISWA YANG DIBIMBING

NO NAMA MAHASISWA NIM KETERANGAN

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

PERKEMBANGAN IPK MAHASISWA

NO SMT JUMLAH MATA KULIAH IP IPK

1 I

2 II

3 III

4 IV

5 V

6 VI

7 VII

8 VIII

9 IX

10 X

11 XI

12 XII

13 XIII

14 XIV

Lulus Tanggal : .............................................................................................

LAPORAN PERKEMBANGAN MAHASISWA

NO NIM NAMA MAHASISWA PERKEMBANGAN

Lahat, ..............................20Dosen PA

(...............................................)

DAFTAR KEMAJUAN PRESTASI AKADEMIK MAHASISWA

STIE SERELO LAHAT

Nama : .....................................................................

NIM : .....................................................................

Dosen Pembimbing Akademik : .....................................................................

Semester : I (Satu)

NO KODE MK MATA KULIAH SKSBOBOT NILA KET

ANGKA HURUF

1 MPK-0001 Pendidikan Agama 2

2 MPK-0003 Pendidikan Pancasila 2

3 MKK-0114 Peng. Ilmu Ekonomi Mikro

3

4 MKK-0109 Pengantar Bisnis 3

5 MKK-0111 Pengantar Akuntansi 4

6 MPK-0004 Ilmu Alamiah Dasar 2

7 MKK-0108 Matematika Ekonomi 3

Jumlah SKS 19

Lahat, ...........................20.....

Mengetahui,Ketua Jurusan

Dosen PA

(Gratias Roh Markus, SE, MM) (......................................)


STIE SERELO LAHAT

Nama : .....................................................................

NIM : .....................................................................


Semester : 2 (Dua)

NO KODE MK MATA KULIAH SKS

BOBOT NILAIKETERANGAN

ANGKA HURUF

1 MKK-0115 Peng. Ilmu Eko. Makro 3

2 MKK-0107 Pengantar Manajemen 3

3 MKK-0116 Peng. Aplikasi Komputer I 2

4 MKK-0110 Bahasa Inggris 3

5 MPK-0002Pendidikan Kewarganegaraan

2

6 MBB-0349 Sosilogi dan Poltik 2

7 MPK-0004 Ilmu Budaya Dasar 2

Jumlah SKS 18

Lahat, ...........................20.....


Dosen PA



STIE SERELO LAHAT

Nama : .....................................................................

NIM : .....................................................................


Semester : 3 (Tiga)

NO KODE MK MATA KULIAH SKS

BOBOT NILAIKETERANGANANGKA HURUF

1 MKK-0122 Teori Ekonomi 4

2 MKK-0121 Aspek Hukum Dalam Ekonomi 3

3 MKK-0112 Statistik 1 2

4 MPB-0345 Pengantar.Eko.Pembangunan 2

5 MKK-0123 Bank & Lemb. Keuangan Lainnya

3

6 MPB-0343 Prilaku Organisasi 3

7 MKK-0117 Pengantar Aplikasi Komputer 2 3

Jumlah SKS 20

Lahat, ...........................20.....


Dosen PA



STIE SERELO LAHAT

Nama : .....................................................................

NIM : .....................................................................


Semester : 4 (Empat)

NO KODE MK MATA KULIAH SKSBOBOT NILAI KETERANGAN

ANGKA HURUF

1 MKK-0113 Statistik Ekonomi 2 2

2 MPK-0006 Bahasa Indonesia 2

3 MBB-0351 Ekonomi Koperasi 3

4 MBB-0353Perekonomian Indonesia

3

5 MBB-0352Manajemen Perbankan

3

6 MKB-0232 Akuntansi Biaya 2

7 MKB-0239 Ekonomi Industri 3

Jumlah SKS 18

Lahat, ...........................20.....


Dosen PA



STIE SERELO LAHAT

Nama : .....................................................................

NIM : .....................................................................


Semester : 5 (Lima)

NO KODE MK MATA KULIAH SKSBOBOT NILAI

KETERANGANANGKA HURUF

1 MKB-0230 M. Pemasaran 1 3

2 MKB-0233 Manajemen Akuntansi 3

3 MKB-0226 Manajemen Keuangan 3

4 MKB-0236 Ekonomi Internasional 3

5 MKB-0228 M. Operasional 1 3

6 MKK-0120 Metode Penelitian 3

7 MPB-0347Pemb.Pedesaan & Koperasi

3

8 MKB-0224 MSDM I 3

JUMLAH SKS 24

Lahat, ...........................20.....


Dosen PA



STIE SERELO LAHAT

Nama : .....................................................................

NIM : .....................................................................


Semester : 6 (Enam)



1 MKB-0236 Ekonomi Manajerial 3

2 MKB-0227 Manajemen Resiko 3

3 MKK-0118 Operasi Research 3

4 MKB-0234 SIM 3

5 MKB-0231 M . Pemasaran II 3

6 MPB-0341 Kominikasi Bisnis 3

7 MKB-0225M . Sumber Daya Manusia II

3

8 MKB-0229 M. Operasional II 3

JUMLAH SKS 24

Lahat, ...........................20.....


Dosen PA



STIE SERELO LAHAT

Nama : .....................................................................

NIM : .....................................................................


Semester : 7 (Tujuh)



1 MKK-0119 Anggaran Perusahaan

3

2 MKB-0240 Teori Proyeksi Bisnis 3

3 MPB-0344 Kewirausahaan 3

4 MKB-0235 Studi Kelayakan Bisnis

3

5 MKB-0237 Manajemen Strategi 3

Jumlah SKS 15

Lahat, ...........................20.....


Dosen PA



STIE SERELO LAHAT

Nama : .....................................................................

NIM : .....................................................................


Semester : 8 (Delapan)

NO KODE MK MATA KULIHA SKSBOBOT NILAI


1 MPB-0342 Manajemen Agrobisnis

3

2 MPB-0346 Seminar Manajemen 3

3 MBB-0354 KKN 3

3 MBB-0350 Skripsi 6

Jumlah 15

Lahat, ...........................20.....


Dosen PA


KARTU KENDALI MAHASISWA(KKM)

Nama Mahaiswa : ………………………………

NIM : …………………………........

Dosen Pembimbing Akademik : ………………………………

SEKOLAH TINGGI ILMU EKONOMI (STIE) SERELO LAHATJURUSAN MANAJEMEN

TAHUN AKADEMIK 2012-2013

data pribadi mahasiswa · web viewfakultas : ekonomi jurusan : manajemen program studi :...

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