higher education (rp. 58 · surat tugas no. 0001/b.02/pppm-nm/v/2017 tentang penelitian pasca...

DAFTAR HIBAH

No Nama Hibah Jenis Posisi Tahun Instansi Pemberi Hibah Total Biaya

1 Hibah dari IEEE Humanitarian Activities Commitee dengan nama Project" Lentera UMKM- Technology Solution for MSMEs Product Selling Market in Pandemic Covid-19 Era" (20-COV-68)

Kompetitif tingkat

internasional Ketua 2020 IEEE Humanitarian

Activities Committee $ 5000 (Rp. 70.991.250)

2 Hibah Pasca Doktor dari Kementrian Riset, Teknologi,

dan Pendidikan Tinggi

koordinasi Perguruan Tinggi Swasta Wilayah III, tahun 2018

Kompetitif tingkat

nasional Ketua 2018 Kementrian Riset,

Teknologi, dan Pendidikan Tinggi koordinasi Perguruan Tinggi Swasta Wilayah III

Rp. 93.000.000

3 Hibah Pasca Doktor dari Kementrian Riset, Teknologi,

dan Pendidikan Tinggi

koordinasi Perguruan Tinggi Swasta Wilayah III, tahun 2017

Kompetitif tingkat

nasional Ketua 2017 Kementrian Riset,

Teknologi, dan Pendidikan Tinggi koordinasi Perguruan Tinggi Swasta Wilayah III

Rp. 163.800.000

4 Hibah Peningkatan Kualitas Publikasi Intrenasional

(Sandwich-like) ke University

of Loannina, Greece

Kompetitif tingkat

internasional Ketua 2013 Directorate General of

Higher Education € 4500 (Rp. 58.000.000)

Total Dana Hibah Rp. 385.791.250

SURAT TUGAS No. 000 1 /B.02/PPPM - NM/VI/20 20

Tentang

HIBAH IEEE HUMANITARIAN ACTIVITIES COMMITEE (HAC) Pada Bulan Juni 2020 – Desember 20 20

Judul :

“ Lentera UMKM - Technology Solution for MSMEs Product Selling Market in Pandemic Covid - 19 Era ”

MENIMBANG : Bahwa perlu dilaksanakannya Hibah IEEE Humanitarian Activities

Commitee (HAC) dalam Rangka Tri Dharma Perguruan Tinggi.

MEMUTUSKAN

PERTAMA : Menugaskan kepada saudara, dengan nama yang tercantum dibawah ini.

Dr. Dwiza Riana, S.Si, MM, M.Kom

KEDUA : Mempunyai tugas sbb:

Melaksanakan tugas yang diberikan dengan penuh rasa tanggung

jawab.

KETIGA : Surat tugas ini berlaku sej ak tanggal ditetapkan, dengan ketentuan

apabila dikemudian hari terda pat kekeliruan akan diubah dan diperbaiki

sebagaimana mestinya.

Jakarta , 18 Juni 2020 Ketua PPPM STMIK Nusa Mandiri

Popon Handayani , M.Kom Tembusan :

1. Ketua STMIK Nusa Mandiri 2. Arsip

DocuSign Envelope ID: ACAD40DD-89CD-4A11-98E0-2B61B7DFDD33

445 Hoes Lane, Piscataway, NJ 08854 USA • +1 732 981 0060 • Fax +1 732 981 0027 • www.ieee.org

Date: 17-Jun-2020

To: Dwiza Riana

Email: [email protected]

On behalf of the IEEE Humanitarian Activities Committee (HAC) and IEEE Special Interest Group on

Humanitarian Technology (SIGHT): Congratulations! The IEEE HAC & SIGHT Review Committee, has

approved a grant of US $5,000.00 for the project named “Lentera UMKM - Technology Solution for

MSMEs Product Selling Market in Pandemic Covid-19 Era” (20-COV-68). Our offer of this grant is subject

to your agreement to:

1. Use the grant funds only as specified in the approved grant proposal.

2. Maintain your records to show and account for the uses of grant funds and retain all original

receipts.

3. Allow the IEEE Humanitarian Activities Committee access to records to verify grant expenditures

and activities.

4. Provide written acknowledgement of receipt of grant funds.

5. Repay any portion of the funds not used for the specified purposes.

6. Refrain from use of the funds for any purpose prohibited by law.

7. Cooperate with any efforts of the IEEE Humanitarian Activities Committee to publicize the grant

award.

8. Comply with reasonable requests for information about program activities.

9. Meet terms and conditions specified in the addendum to this letter.

All grants are made in accordance with current and applicable laws and pursuant to the Internal Revenue

Service Code and the regulations issued thereunder.

If you agree to these terms, please sign via the electronic method used to send it to you (DocuSign). We

appreciate being able to assist in the success of your project.



Addendum to Award Letter for

“Lentera UMKM - Technology Solution for MSMEs Product Selling Market in Pandemic Covid-19 Era”

(the “Project”)

Grant Reference number: #20-COV-68

Please refer to this number in all communications regarding this grant.

1. Publicity

The grantee shall mention that the Project is sponsored by the IEEE Humanitarian Activities Committee

(the “Sponsorship”) in all press releases, news conferences and other media contacts concerning the

Project. All materials developed or published by the Project, including brochures, announcements, flyers,

manuals and reports, shall mention the Sponsorship. The grantee shall send to the IEEE Humanitarian

Activities Committee copies of all publicity regarding the grant, including print media and information

materials that are related to the Project. Copies of the IEEE Humanitarian Activities Committee logo

suitable for reproduction are included for your convenience.

2. Accounting

The grantee is responsible for the expenditure of the grant funds and for maintaining adequate

supporting records consistent with generally accepted accounting procedures.

3. Reports

A complete project and financial report for the Project must be provided within sixty (60) days after the

completion of the grant period based on the below schedule. Brief updates every two weeks, ideally

with photos or video for social media sharing, are also requested.

Beginning date Ending Date Final Report Due Date

25-Jun-2020 24-Dec-2020 22-

Feb-2021 or 60 days after

Actual Completion

HAC may occasionally reach out to you for updates after the term of the project; likewise, HAC welcomes

periodic updates, including pictures and/or videos, as you have available.

Sincerely,

Kartik Kulkarni

Chair, IEEE Humanitarian Activities

Committee

A Committee of IEEE

I certify that I accept the terms outlined in this letter:

Signature: ____________________________

Printed Name: _______________________

Title (role) for Project: ________________________

Date: _________ 2020-06-17

Dwiza Riana

Primary Applicant



4. Payment Schedule

Unless otherwise agreed in writing by IEEE Humanitarian Activities Committee, the grant award shall be

paid as indicated below:

• US $5,000.00 will be transferred to IEEE Indonesia Section account for disbursement to this

project.

The grant award shall be paid to the grantee after the IEEE Humanitarian Activities Committee receives

an executed copy of the Grant Award Letter.

5. Equipment

Title to equipment purchased shall be vested in the grantee with the understanding that the equipment

will be used for the Project, or similar activities, for which it was obtained.

6. Reversion of Grant Funds

The grantee will return to the IEEE Humanitarian Activities Committee any portion of the funds not used

for the specified purposes at the close of the grant period. Funds also will be promptly returned if the

IEEE Humanitarian Activities Committee determines that the grantee has not performed in accordance

with the Award Letter or has not met the specific grant conditions of the Project and its supporting

budget.

7. Special Conditions

Project lead will ensure that every participant in the Project signs IEEE Release Form prior to participating

in the Project. The grantee will sign the Intellectual Property Policy prior to receiving the grant funds and

undertaking any work on the Project. The Project lead will keep a copy of all signed documents and

submit them to the IEEE Humanitarian Activities Committee together with the first and final reports.

8. Grant Renewal

Unless otherwise stipulated in writing, this grant is made with the understanding that the IEEE

Humanitarian Activities Committee has no obligation to provide other or additional support to the

grantee.

9. Legal Compliance

The grantee currently complies and will comply with all state and federal laws and regulations, including

laws concerning civil and human rights, and will ensure that the Project will be free of any discrimination

based on race, color, national origin, physical disability, religion, gender, or age.

Initials: _______



10. Data Privacy

In the event the Project collects, uses, processes, or otherwise involves the personal data of any

individual, the grantee agrees that they shall, to the maximum extent possible, respect the privacy of

those individuals. Grantee will comply with all applicable data privacy laws or regulations.

Initials: _______


Intellectual Property Policy

Prepared for: “Lentera UMKM - Technology Solution for MSMEs Product Selling Market

in Pandemic Covid-19 Era” (#20-COV-68) (the “Project”)

Grants provided by IEEE Humanitarian Activities Committee, a committee of The Institute of Electrical and

Electronics Engineers, Incorporated (“IEEE”) may result in the creation of intellectual property (“Grant IP”)

by the grant funds recipient (the “Grantee”). Grantee and IEEE Humanitarian Activities Committee agree to

work together to protect and distribute the Grant IP in order to achieve the goals of the Project and for the

benefit of humanity.

A. The Grantee shall own all rights in any Grant IP created during the Project. All costs involved in obtaining and maintaining legal protection of Grant IP shall be borne by the Grantee.

B. Grantee will take all reasonable steps to protect the Grant IP and will coordinate with the IEEE Humanitarian Activities Committee to ensure the Grant IP is not abused or infringed upon by any third parties.

C. Grantee will take all reasonable steps to make the Grant IP available under license to interested parties in a manner that is consistent with each of IEEE’s mission, not-for-profit status and intellectual property policies.

D. The Grantee agrees to grant a worldwide, perpetual, irrevocable and royalty-free license to IEEE Humanitarian Activities Committee and IEEE to continue to use, reproduce and distribute the Grant IP.

E. The Grantee shall disclose to IEEE Humanitarian Activities Committee any Grant IP that is developed during the Project and provide any additional reports or information that may be requested by IEEE Humanitarian Activities Committee in IEEE.

F. IEEE is committed to advancing technology for the benefit of humanity and the Grantee understands and agrees that the Grant IP should be used to advance IEEE’s mission. Where possible, the Grant IP will be distributed in an open and expedited manner at a rate comparable to the means of production.

G. If immediate release of the Grant IP is impracticable or imprudent given the subject matter of the Project, Grantee will work with IEEE Humanitarian Activities Committee to create reasonable restriction periods or limit the distribution channels. Grantee agrees to widely distribute the Grant IP as soon as it becomes practicable to do so. Grantees will take all reasonable steps to determine the best way to distribute the Grant IP in order to allow for maximum impact and dissemination.


H. Grantee shall use its best efforts to ensure that the Grant IP is not used to inhibit the development of additional projects by others organizations or individuals.

By signing below, the Grantee certifies that he/she is a representative of the Project and accepts the terms

outlined in this Intellectual Property Policy.

445 Hoes

Lane, Piscataway, NJ

08854 USA • +1 732 981 0060 • Fax +1 732

981 0027 • www.ieee.org

Signature: ____________________________

Dwiza Riana Printed Name: _________________________

Title: ______________________________ Date:

_________Primary Applicant 2020-06-17

SURAT TUGAS No. 000 2 /B.02/PPPM - NM/ III /201 8

Tentang

PENELITIAN PASCA DOKTOR Pada Bulan Maret 201 8 – November 201 8

Judul Penelitian :

“ TEKNOLOGI INFORMASI KESEHATAN SISTEM INFORMASI PEROLEHAN DAN KLASIFIKASI CITRA SEL TUNGGAL PAP SMEAR UNTUK DETEKSI DINI

KANKER SERVIKS ”

MENIMBANG : Bahwa perlu d ilaksanakannya Penelitian Pasca Doktor dalam Rangka Tri

Dharma Perguruan Tinggi.

MEMUTUSKAN

PERTAMA : Menugaskan kepada saudara, deng an nama yang tercantum dibawah ini

se bagai Peneliti




jawab.

KETIGA : Surat tugas ini berlaku sejak tanggal ditetapkan, dengan ketentuan

apabila d ikemudian hari terda pat kekeliruan akan diubah dan

diperbaiki sebagaimana mestinya.

Jakarta , 2018 Maret 08 Ketua PPPM STMIK Nusa Mandiri

Frieyadie , M.Kom Tembusan :


SURAT TUGAS No. 000 1 /B.02/PPPM - NM/ V /201 7

Tentang

PENELITIAN PASCA DOKTOR Pada Bulan Mei 201 7 – Oktober 201 7

Judul Penelitian :

“ TEKNOLOGI INFORMASI KESEHATAN SISTEM INFORMASI PEROLEHAN DAN KLASIFIKASI CITRA SEL TUNGGAL PAP SMEAR UNTUK DETEKSI DINI

KANKER SERVIKS ”

MENIMBANG : Bahwa perlu d ilaksanakannya Penelitian Pasca Doktor dalam Rangka Tri

Dharma Perguruan Tinggi.

MEMUTUSKAN

PERTAMA : Menugaskan kepada saudara, deng an nama yang tercantum dibawah ini

se bagai Peneliti




jawab.

KETIGA : Surat tugas ini berlaku sejak tanggal ditetapkan, dengan ketentuan

apabila d ikemudian hari terda pat kekeliruan akan diubah dan

diperbaiki sebagaimana mestinya.

Jakarta , 25 Mei 2017 Ketua PPPM STMIK Nusa Mandiri

Frieyadie , M.Kom Tembusan :


SURAT TUGAS No. 000 1 /B.02/ L PPM - NM/ VI /201 3

Tentang

PENINGKATAN KUALITAS PUBLIKASI INTERNASIONAL

( SANDWICH - LIKE) Pada Bulan Agustus 201 3 – November 201 3

MENIMBANG : Bahwa perlu d ilaksanakannya Peningkatan Kualitas Publikasi Internasional

( Sandwich - like) .

MEMUTUSKAN

PERTAMA : Menugaskan kepada saudara, deng an nama yang tercantum dibawah i ni

sebagai penugasan ke Luar Negeri.

Nama : Dr. Dwiza Riana, S.Si, MM, M.Kom

Negara Tujuan : University of Loannina, Greece

KEDU A : Mempunyai tugas sbb:

Melaksanakan tugas yang diberikan dengan penuh rasa tanggung jawab.

KETIGA : Surat tugas ini berlaku sejak tanggal ditetapkan, dengan ketentuan apabila

dikemudian hari terda pat kekeliruan akan diubah dan diperbaiki

sebaga imana mestinya.

Jakarta , 27 Juni 2013 Ketua L PPM STMIK Nusa Mandiri

Erna Kusumawati, M.Pd Tembusan :


To the Selection Committee of “Sandwich-Like Program” Indonesia

Ioannina, 20 May 2013

Subject: Confirmation of scientific collaboration with Ms Dwiza Riana.

It is my pleasure to accept Ms. Dwiza Riana, Ph.D student in Bandung Institute of Technology,

Indonesia, as a visiting researcher at the University of Ioannina in Greece, from August 17

through November 30, 2013. Ms. Dwiza Riana will be financially supported by the Indonesian

“Sandwich –Like Program”. During her stay, she will be a member of my Laboratory in the

Department of Computer Science of the University of Ioannina in Greece and we will conduct

research in the area of cytological image analysis. As an outcome of her research effort we will

submit a research paper for publication to a highly ranked international conference or journal.

Please note that Ms. Dwiza Riana has to cover all of her travel, accomodation, health insurance and

visa expenses.

I look forward to seeing Ms Dwiza Riana in Ioannina.

Sincerely,

Christophoros Nikou

Assistant Professor Department of Computer Science University of Ioannina GR45110 Ioannina, Greece Tel. +30-265 100 8802 Fax

+30-265 100 8880

http://www.cs.uoi.gr/~cnikou

higher education (rp. 58 · surat tugas no. 0001/b.02/pppm-nm/v/2017 tentang penelitian pasca...

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