pl-pa tmesin-d3 (bahan sidang)

7/25/2019 Pl-pa Tmesin-d3 (Bahan Sidang)

1/19

PERSYARATAN PENDAFTARAN,

PELAKSANAAN, dan PENGAMBILAN NILAI

PRAKTEK LAPANGAN dan SIDANG PROYEK AKHIR

Tempelkan

Pas Photo

Hitam Putih

Berukuran

4 x 6

NAMA :

BP :

PROGRAM STUDI TEKNIK MESIN D3

JURUSAN TEKNIK MESINFAKULTAS TEKNOLOGI INDUSTRI

INSTITUT TEKNOLOGI PADANG


2/19

DAFTAR PERSYARATAN PENDAFTARAN,

PELAKSANAAN, dan PENGAMBILAN NILAI

PRAKTEK LAPANGAN (PL) dan SIDANG PROYEK AKHIR (PA)

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

No. BP : .................................................................

No Pena!"#$an N#$a# PL J$% Pa&a'

1. Foto Copy Surat Keteranan Selesai P! "ari Perusahaan.............. 1 rankap

#. Surat Permohonan Penun$ukan Pem%im%in P!........................... 1 rankap

&. Surat Penun$ukan Pem%im%in P!................................................ & rankap

4. !em%aran 'sistensi !aporan P!.................................................... 1 rankap

(. Nilai P!.......................................................................................... & rankap

Pe&a&a*an S#dan PA

6.

Surat Permohonan P'..................................................................... 1 rankap). Formulir Klirin Nilai.................................................................... 1 rankap

*. Surat Keteranan Kelayakan +u"ul P'........................................... 1 rankap

,. Surat Penun$ukan Pem%im%in P'................................................ & rankap

1-. !em%aran 'sistensi !aporan P'.................................................... 1 rankap

11. a/tar Nilai 0apor2 'sli................................................................ 1 rankap

1#. Foto Copy T3F! 0'sli "iperlihatkan2......................................... 1 rankap

1&. Foto Copy Kuitansi Pem%ayaran eistrasi Semester Ber$alan... . 1 rankap

14.

Surat Permohonan Si"an P'........................................................ 1 rankap1(. Formulir Pen$a"5alan Si"an P'.................................................. # rankap

16. Surat n"anan 7 a/tar Penu$i Si"an P'................................ 4 rankap

1). Berita '8ara Si"an P'.................................................................. ( rankap

1*. Formulir Penilaian Si"an P'........................................................ & rankap

1,. Formulir Saran9Saran Penu$i........................................................ & rankap

Pe&a&a*an Pena!"#$an N#$a# PA

#-. !em%aran eisi !aporan P'........................................................ 1 rankap

#1. Foto Copy !em%aran Penesahan !aporan P'.............................. # rankap

##. C !aporan P! "an P'.................................................................. 1 kepin

Pa"an; ......


3/19

SURAT PERMOHONAN

PENUNJUKAN PEMBIMBING PRAKTEK LAPANGAN (PL)

Y*%,

Ke*a J&an Te+n#+ Me#n

In*#** Te+no$o# Padan

enan hormat;

Saya yan %ertan"a tanan "i%a5ah ini:

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

No. BP : .................................................................

+urusan : Teknik =esin

Proram Stu"i : Teknik =esin &

Sehu%unan "enan telah selesainya P! yan Saya laksanakan pa"a:

Tanal : .................................... sampai ....................................

Tempat : ..........................................................................................................................

Topik P! : ..........................................................................................................................

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

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

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

=aka; mohon a"anya penun$ukan Pem%im%in untuk penyusunan laporan P!.

emikian permohonan ini Saya sampaikan; atas perhatian "an pertim%anannya Saya

u8apkan terima kasih.

Pa"an; ......


4/19

Nomor : ---&


5/19

LEMBARAN ASISTENSI LAPORAN PRAKTEK LAPANGAN (PL)

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

No. BP : .................................................................



+u"ul P! : ..........................................................................................................................

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

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

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

No Tanal Saran


6/19

NILAI PRAKTEK LAPANGAN (PL)

@an %ertan"a tanan "i%a5ah ini Pem%im%in "ari mahasis5a:

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

No. BP : .................................................................

+urusan : Teknik =esinProram Stu"i : Teknik =esin &

+u"ul P! : ..........................................................................................................................

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

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

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

Nilai P! :

No A/e+ an D#n#$a# N#$a#

1 2a+* Pene$ea#an....................................................... 0=aks. 1-2

# Penaaan La/anan................................................... 0=aks. #-2

& Penaaan Ma*e........................................................ 0=aks. #-2

4 Ta*a T$# La/o&an......................................................... 0=aks. (-2

To*a$ N#$a#

iketahui 3leh: Pa"an; ......


7/19

SURAT PERMOHONAN PROYEK AKHIR (PA)

Y*%,



enan hormat;

Saya yan %ertan"a tanan "i%a5ah ini:

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

No. BP : .................................................................



=ohon "apat melaksanakan PApa"a semester ..................Tahun 'ka"emik ............ < ............

Se%aai %ahan pertim%anan; %ersama ini saya lampirkan Fo&!$#& K$#n N#$a# yan telah

"itan"a tanan oleh Penasehat 'ka"emik "an "iketahui oleh Ketua +urusan dan S&a*Ke*e&anan Ke$aa+an Jd$ PAyan telah "itan"a tanan oleh osen KBK.

Saya %er$an$i akan mematuhi seala peraturan yan %erlaku "alam melaksanakan Proyek

'khir ini. emikian permohonan ini saya a$ukan; "an se%elumnya saya u8apkan terima kasih.

=enyetu$ui; Pa"an; ......


8/19

FORMULIR KLIRING NILAI

@an %ertan"a tanan "i%a5ah ini a"alah Penasehat 'ka"emik "ari mahasis5a "i%a5ah ini:

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

No. BP : .................................................................



enan ini menerankan %ah5a mahasis5a ini telah L$ Se!a Ma*a K$#a% untuk "apat

melaksanakan P&oe+ A+%#&.

emikian surat ini "i%uat untuk "apat "iperunakan seperlunya.

iketahui 3leh: Pa"an; ......


9/19

SURAT KETERANGAN

KELAYAKAN JUDUL PROYEK AKHIR (PA)

@an %ertan"a tanan "i%a5ah ini a"alah osen KBK ...................................................

+urusan Teknik =esin Fakultas Teknoloi >n"ustri >nstitut Teknoloi Pa"an; menerankan

%ah5a mahasis5a yan terse%ut "i%a5ah ini:

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

No. BP : .................................................................



+u"ul P' : ..........................................................................................................................

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

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

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

enan ini kami menyatakan %ah5a $u"ul P' ini layak untuk "i$a"ikan laporan P'.

Pa"an; ......


10/19

Nomor : --#1nstitut Teknoloi Pa"an 0BAB III Paa$ 3-3)

emikian hal ini "isampaikan; atas perhatian "an kese"iaan Sau"ara "iu8apkan terima kasih.

+urusan Teknik =esinKetua;

Hendan Fa%!#, ST-, MT-

Te!"an:1. Pem%im%in#. =ahasis5a&. Koor"inator PK!


11/19

LEMBARAN ASISTENSI LAPORAN PROYEK AKHIR (PA)

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

No. BP : .................................................................



+u"ul P' : ..........................................................................................................................

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

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

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

No Tanal Saran


12/19

SURAT PERMOHONAN SIDANG PROYEK AKHIR (PA)

Y*%,



enan hormat;

Ber"asarkan hasil konsultasi "enan osen Pem%im%in; "enan ini Saya mena$ukan

permohonan untuk menikuti S#dan PA "enan "ata9"ata :

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

No. BP : .................................................................



+u"ul P' : ..........................................................................................................................

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

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

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

emikian permohonan ini Saya sampaikan; atas perhatian "an pertim%anannya Saya

u8apkan terima kasih.

Setu$u untuk "isi"ankan Pa"an; ......


13/19

FORMULIR PENJAD2ALAN SIDANG PROYEK AKHIR (PA)

Y*%,

Doen Pe!"#!"#n PA

Terkait "enan pelaksanaan Si"an P' %ai mahasis5a yan Sau"ara %im%in; maka "iminta

kese"iaan Sau"ara untuk ha"ir pa"a $a"ual yan ter"apat pa"a ta%el %erikut ini :

No Nama =hs.


14/19

Nomor : ............


15/19

!ampiran Surat Nomor: ............


16/19

BERITA A.ARA SIDANG PROYEK AKHIR (PA)No: ............749-O6--7PL7PA7............

Pa"a hari ini .................. < ...... ........................ ............; telah "ilansunkan Si"an P'

Proram Stu"i Teknik =esin &; +urusan Teknik =esin; Fakultas Teknoloi >n"ustri; >nstitut

Teknoloi Pa"an; atas mahasis5a:

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

No. BP : .................................................................

+u"ul P' : ..........................................................................................................................

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

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

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

enan nilai :

,-91-- *-9*, )-9), 6-96, (-9(, 4(94, 4(

4.-- &.6- &.4- &.-- #.(- #.-- -.--

Keteranan : L$ 7 L$ Be&a&a* 7 Men$an

Tim Penu$i :

Pem%im%in; Penu$i91; Penu$i9#;

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

Panitia Si"an :

Ketua

0Pem%im%in P'2

Panitera

0Koor". PK!


17/19

PENILAIAN SIDANG PROYEK AKHIR (PA)

Si"an P' atas mahasis5a:

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

No. BP : .................................................................


+u"ul P' : ..........................................................................................................................

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

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

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

enan Nilai :

No A/e+ an D#n#$a# N#$a#

1 Ta*a *$# $a/o&an........................................................... 0=aks. #-2

# Penaaan Ma*e........................................................ 0=aks. &-2

& Penaaan La/anan................................................... 0=aks. &-2

4 S#*e!a*#+a Pena8#an................................................... 0=aks. 1-2

( Pena!/#$an..................................................................... 0=aks. 1-2

To*a$ N#$a#

Keteranan Total Nilai : Bo%ot Pa"an; ......


18/19

SARAN;SARAN PENGUJI

Setelah "iu$i "alam Si"an Proyek 'khir 0P'2 mahasis5a "i %a5ah ini:

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

No. BP : .................................................................


+u"ul P' : ..........................................................................................................................

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

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

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

=aka "iminta untuk memper%aiki laporannya se%aai %erikut:

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Pa"an; ......


19/19

SURAT KETERANGAN BEBAS RE

pl-pa tmesin-d3 (bahan sidang)

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