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Kepada Yth. Ketua Program Studi ............................... di- Tempat
Dengan hormat, Saya yang bertanda tangan di bawah ini :
NPM : ...............................................
Nama : ..........................................................................................
Program Studi : ..........................................................................................
Dengan ini mengajukan permohonan persetujuan rencana judul Tugas Akhir dan usulan
pembimbing sebagai berikut :
No. Judul Tugas Akhir Pembimbing *)
1
2
3
*) diisi jika telah ada calon pembimbing
Demikian permohonan ini disampaikan, atas perhatiannya saya ucapkan terima kasih.
Bandar Lampung, ....................................... 20
Mengetahui,
Pembimbing Akademik Pemohon ______________________________ ___________________________ NIK. NPM. Catatan: Dengan dilengkapi Rekapitulasi Nilai Sementara
PENGAJUAN USULAN JUDUL TUGAS AKHIR
Diploma Tiga Program Studi .......................
FORM TA - 01
Kepada Yth. Bapak/ Ibu Dosen di- Tempat Sehubungan dengan persetujuan Program Studi terhadap Tugas Akhir mahasiswa :
NPM : ..........................................
Nama : .............................................................................
Program Studi : .............................................................................
Judul : ...........................................................................................................................................................
...........................................................................................................................................................
...........................................................................................................................................................
Maka kami menyetujui Bapak/ Ibu sebagai Pembimbing/Pembahas/Penguji bimbingan
dengan susunan sebagai berikut :
Nama Dosen Jabatan dan Tanda Tangan
Pembimbing I
NIK.
Pembimbing II
NIK.
Bandar Lampung, ....................................... 20..... Ketua Program Studi
__________________________________ NIK.
Catatan: Setelah ditandatangani komisi pembimbing dan ketua prodi, mahasiswa diharuskan menggandakan surat ini sebanyak 3 rangkap dan diserahan kepada Pembimbing I dan Pembimbing II, dan administrasi prodi (Asli), serta satu rangkap untuk mahasiswa yang bersangkutan.
PENUNJUKKAN PEMBIMBING
Diploma Tiga Program Studi .......................
FORM TA - 02
NPM : ..........................................
Nama : .............................................................................
Program Studi : .............................................................................
Pembimbing I / II : .............................................................................
Judul Tugas Akhir : ................................................................................................................................................
................................................................................................................................................
................................................................................................................................................
No. Hari / Tanggal Saran Bimbingan Paraf
1
2
3
4
5
6
7
8
9
10
Bandar Lampung, ..................................... 20..
Mengetahui, Ketua Prodi ....................... Dosen Pembimbing I/II ______________________________ ______________________________ NIK. NIK.
KARTU KONSULTASI TUGAS AKHIR
Diploma Tiga Program Studi .......................
FORM TA - 03
Yang bertanda tangan di bawah ini Pembimbing I / II menerangkan :
NPM : ..........................................
Nama : .............................................................................
Program Studi : .............................................................................
Judul Tugas Akhir : ................................................................................................................................................
................................................................................................................................................
................................................................................................................................................
Direkomendasikan untuk mengikuti Seminar Hasil Tugas Akhir.
Bandar Lampung, ..................................... 20..
Menyetujui,
Pembimbing I Pembimbing II ______________________________ ______________________________ NIK. NIK.
Persyaratan Ujian : 1. Surat persetujuan penulisan 2. Fotocopy slip pembayaran tugas akhir 3. Seluruh berkas dimasukkan ke dalam map buffalo “DIAMOND” warna merah
Catatan : Laporan Tugas Akhir BAB III harap dibawa pada saat ujian program
PERSETUJUAN SEMINAR HASIL
Diploma Tiga Program Studi .......................
FORM TA - 04
Pada pukul ................... WIB, hari ........................ tanggal ............. bulan ......................... tahun 20..
telah berlangsung seminar hasil tugas akhir di AMIK Dian Cipta Cendikia Bandar Lampung,
terhadap :
NPM : ..........................................
Nama : .............................................................................
Program Studi : .............................................................................
Judul Tugas Akhir : ................................................................................................................................................
................................................................................................................................................
................................................................................................................................................
Berdasarkan nilai rata – rata dari tim penguji, maka mahasiswa tersebut di atas dinyatakan :
Lulus – Mengulang *) Dengan nilai huruf : A / B / C / D / E *)
Penilaian Tim Penguji
No. Nama / NIK Status Penguji Nilai Tanda Tangan
1 Ketua Penguji
2 Penguji Utama
3 Penguji Anggota
Jumlah
Rata - Rata
Bandar Lampung, ................................. 20.... Sekretaris _____________________________________ NIK.
Catatan : *) Coret yang tidak perlu
BERITA ACARA SEMINAR HASIL
Diploma Tiga Program Studi .......................
FORM TA - 05
Pada pukul ................... WIB, hari ........................ tanggal ............. bulan ......................... tahun 20..
telah berlangsung seminar hasil tugas akhir di AMIK Dian Cipta Cendikia Bandar Lampung,
terhadap :
NPM : ..........................................
Nama : .............................................................................
Program Studi : .............................................................................
Judul Tugas Akhir : ................................................................................................................................................
................................................................................................................................................
................................................................................................................................................
No. NPM Nama Mahasiswa Tanda Tangan
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
Mengetahui, Ketua Program Studi _____________________________ NIK.
DAFTAR HADIR PESERTA SEMINAR HASIL
Diploma Tiga Program Studi .......................
FORM TA - 06
NPM : ..........................................
Nama : .............................................................................
Program Studi : .............................................................................
Judul Tugas Akhir : ................................................................................................................................................
................................................................................................................................................
................................................................................................................................................
Nama Penguji : .............................................................................
No. Komponen Penilaian Bobot
(%) Skor Nilai
1 Pendahuluan 10%
2 Rancangan Sistem 20%
3
Presentasi
a. Teknik Penyajian Hasil 20%
b. Penguasaan Hasil 15%
c. Diskusi 20%
4 Kesesuaian Rancangan dengan Hasil 15%
Jumlah
Bandar Lampung, ................................. 20.... Penguji, _____________________________________ NIK.
PENILAIAN SEMINAR HASIL
Diploma Tiga Program Studi .......................
FORM TA - 07
NPM : ..........................................
Nama : .............................................................................
Program Studi : .............................................................................
Judul Tugas Akhir : ................................................................................................................................................
................................................................................................................................................
................................................................................................................................................
No. Perbaikan Saran
1
2
3
4
5
6
Bandar Lampung, ............................. 20....
Penguji, _____________________________________ NIK.
PERBAIKAN SEMINAR HASIL
Diploma Tiga Program Studi .......................
FORM TA - 08
Yang bertanda tangan di bawah ini, Pembimbing I / Pembimbing II menerangkan :
NPM : ..........................................
Nama : .............................................................................
Program Studi : .............................................................................
Judul Tugas Akhir : ................................................................................................................................................
................................................................................................................................................
................................................................................................................................................
Merekomendasikan untuk mengikuti Sidang Tugas Akhir.
Menyetujui,
Pembimbing I Pembimbing II
________________________ ________________________ NIK. NIK.
PENILAIAN SEMINAR HASIL
Diploma Tiga Program Studi .......................
FORM TA - 09
Pada pukul ................... WIB, hari ........................ tanggal ............. bulan ......................... tahun 20..
telah berlangsung Sidang Tugas Akhir di AMIK Dian Cipta Cendikia Bandar Lampung,
terhadap :
NPM : ..........................................
Nama : .............................................................................
Program Studi : .............................................................................
Judul Tugas Akhir : ................................................................................................................................................
................................................................................................................................................
................................................................................................................................................
Berdasarkan nilai rata – rata dari tim penguji, maka mahasiswa tersebut di atas dinyatakan :
Lulus – Mengulang *) Dengan nilai huruf : A / B / C / D / E *)
Penilaian Tim Penguji
No. Nama / NIK Status Penguji Nilai Tanda Tangan
1 Ketua Penguji
2 Penguji Utama
3 Penguji Anggota
Jumlah
Rata - Rata
Bandar Lampung, ................................. 20.... Sekretaris _____________________________________ NIK.
Catatan : *) Coret yang tidak perlu
BERITA ACARA SIDANG
Diploma Tiga Program Studi .......................
FORM TA - 10
NPM : ..........................................
Nama : .............................................................................
Program Studi : .............................................................................
Judul Tugas Akhir : ................................................................................................................................................
................................................................................................................................................
................................................................................................................................................
Nama Penguji : .............................................................................
No. Komponen Penilaian Bobot
(B) Nilai (N)
B x N
1
Substansi / Isi Tugas Akhir 2
a. Keterkaitan antara judul, masalah, pembahasan dan kesimpulan
b. Orisinalitas masalah 1
c. Konsistensi penggunaan metode penelitian 1
d. Keterkaitan antara kutipan, daftar pustaka dan substansi yang dibahas
1
2 Kesesuaian tema, isi dan hasil tugas akhir 1
3 Organisasi laporan tugas akhir (kesesuaian antara format / sistematika penyajian laporan tugas akhir dan buku pedoman laporan tugas akhir
1
4 Penggunaan bahasa yang baik dan benar 1
5 Kemampuan menyajikan dan mempertahankan laporan tugas akhir secara lisan
2
Jumlah
Catatan : a. Nilai (N) diberikan dalam skala 1 – 10 b. Nilai dari penguji (B x N) c. Nilai diberikan dalam angka secara perorangan
Bandar Lampung, ................................. 20.... Penguji _____________________________________ NIK.
PENILAIAN SIDANG TUGAS AKHIR
Diploma Tiga Program Studi .......................
FORM TA - 11
NPM : ..........................................
Nama : .............................................................................
Program Studi : .............................................................................
Judul Tugas Akhir : ................................................................................................................................................
................................................................................................................................................
................................................................................................................................................
Nama Penguji : .............................................................................
Status Penguji : Ketua Penguji / Penguji Utama / Penguji Anggota / Pembahas *)
Hal – hal yang perlu diperbaiki sebagai berikut :
1. ............................................................................................................................. ........................................................
2. ............................................................................................................................. ........................................................
3. ............................................................................................................................. ........................................................
4. ............................................................................................................................. ........................................................
5. ............................................................................................................................. ........................................................
6. ............................................................................................................................. ........................................................
7. ............................................................................................................................. ........................................................
8. ............................................................................................................................. ........................................................
9. ............................................................................................................................. ........................................................
10. ............................................................................................................................. ........................................................
11. ............................................................................................................................. ........................................................
12. ............................................................................................................................. ........................................................
13. ............................................................................................................................. ........................................................
14. ............................................................................................................................. ........................................................
15. ............................................................................................................................. ........................................................
Bandar Lampung, ................................. 20.... Ketua Penguji / Penguji Utama / Penguji Anggota / Pembahas *)
_____________________________________ NIK.
Catatan : Coret yang tidak perlu *)
PERBAIKAN UJIAN SIDANG TUGAS AKHIR
Diploma Tiga Program Studi .......................
FORM TA - 12
Yang bertanda tangan di bawah ini, komisi penguji menerangkan : NPM : ..........................................
Nama : .............................................................................
Program Studi : .............................................................................
Judul Tugas Akhir : ................................................................................................................................................
................................................................................................................................................
................................................................................................................................................
Direkomendasikan untuk Naik Cetak Jilid Tugas Akhir.
Menyetujui, Ketua Penguji, Penguji Utama _______________________ _______________________ NIK. NIK. Penguji Anggota, Sekretaris, _______________________ _______________________ NIK. NIK.
PENILAIAN SEMINAR HASIL
Diploma Tiga Program Studi .......................
FORM TA - 13
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