syarat_pendadaran

KEMENTERIAN PENDIDIKAN DAN KEBUDAYAAN

UNIVERSITAS JENDERAL SOEDIRMAN

FAKULTAS PERTANIAN Jl. dr. Soeparno Kampus Karangwangkal Telp. (0281) 638791 Purwokerto 53123

SYARAT – SYARAT UJIAN PENDADARAN

Nama Mahasiswa :...................................................................................................

N I M :...................................................................................................

Jurusan :...................................................................................................

Program Studi :...................................................................................................

No Syarat - syarat Keterangan

1 Foto Copy Surat Tanda Bukti Pembayaran SPP

2 Surat Keterangan Selesai Praktek Penelitian

3 Surat Ket. Bebas Pinjam Perpustakanan Unsoed, Fakultas dan Bebas Laboratorium

4 Foto Ukuran 3 x 4 ( 2 lbr ) 4 x 6 ( 2 lbr ) Hitam Putih, dan Ukuran Kartu Pos 1

Lembar (bebas )

5 Biodata Alumni ( rangkap 3 )

6 Blanko Isian Ijazah ( rangkap 3 )

7 Foto Copy Transkrip Sebanyak 8 Lembar

8 Formulir Pendaftaran / Persyaratan Ujian Akhir Tingkat Sarjana ( Rangkap 3 )

9 Ringkasan Skripsi Sebanyak 4 Lembar

10 Usulan Penelitian dan Praktik Kerja Lapangan ( Tanda Terima dari Masing-masing

Program Studi )

11 Foto Copy Toefl

Purwokerto,................................20............

Bapendik Tk. Sarjana

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

NIP.

Catatan : Stopmap Sesuai Jurusan

Agroteknologi : Warna Hijau

Teknik Pert.anian : Warna Biru

Ilmu dan Teknologi Pangan : Warna Kuning

Agribisnis : Warna Merah




BLANGKO BIODATA IJASAH

HARUS DITULIS DENGAN HURUF BALOK DAN DIISI SENDIRI OLEH MAHASISWA

YANG BERSANGKUTAN

1. NAMA LENGKAP : ..........................................................................................

2. NIM : ..........................................................................................

3. TEMPAT LAHIR : ..........................................................................................

( KABUPATEN / KOTA

DENGAN / IJASAH SLTA

: ..........................................................................................

4. TANGGAL LAHIR : ..........................................................................................

5. PROGRAM STUDI : ..........................................................................................

6. TGL YUDISIUM / TGL LULUS : ..........................................................................................

7. GELAR AKADEMIK / PROFESI : ..........................................................................................

Purwokerto, ...............................20............

Mengetahui

Kasubag Akademik Dan Kemahasiswaan Yang Mengisi Biodata

Tri Pramono Adji, SH., S.Sos ...........................................................

NIP. 19580105 198803 1 002 NIM.

PERNYATAAN

BAHWA APABILA TERJADI KESALAHAN DALAM PENGISIAN

BIODATA IJASAH YANG DITULIS DIBAWAH INI MENJADI

TANGGUNG JAWAB SAYA DAN TIDAK AKAN MENUNTUT

PENGGANTIAN IJASAH

SURAT KETERANGAN

SELESAI PRAKTEK PENELITIAN

Yang bertanda tangan di bawah ini menerangkan bahwa :

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

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

Program Studi : ....................................................................................................................

Jurusan : ....................................................................................................................

Telah selesai melaksanakan Praktek Penelitian dengan judul :

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

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

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

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

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

Mulai Tanggal : .................................................................................

Sampai Dengan : .................................................................................

Di : .................................................................................

Kecamatan : .................................................................................

Kabupaten : .................................................................................

Demikian untuk diketahui dan digunakan seperlunya.

Diketahui :

Pembimbing I

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

NIP.......................................................

Pembimbing II

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

NIP.......................................................

FORMULIR PERSYARATAN UJIAN AKHIR TINGKAT SARJANA

FAKULTAS PERTANIAN

1. Nama Lengkap : ...........................................................................................

2. Nomor Induk Mahasiswa : ...........................................................................................

3. Program Studi : ...........................................................................................

4. Tempat Tgl. Lahir : ...........................................................................................

5. Masuk Fak. Pertanian : ...........................................................................................

6. Alamat Kost : ...........................................................................................

7. Alamat Rumah : ...........................................................................................

8. Skripsi : ...........................................................................................

Mulai Tanggal/Bulan : ...........................................................................................

Selesai s/d Ujian Skripsi : ...........................................................................................

Judul : ...........................................................................................

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

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

9. Praktik Kerja Lapangan : ...........................................................................................

Mulai Tgl / Bulan : ...........................................................................................

Selesai Ujian Tgl : ...........................................................................................

Judul : ...........................................................................................

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

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

10. Kuliah Kerja Nyata : ...........................................................................................

Mulai Tanggal : ...........................................................................................

Selesai Tanggal : ...........................................................................................

Nilai : ...........................................................................................

11. Lokasi Kuliah Kerja Nyata : ...........................................................................................

Desa : ...........................................................................................

Kecamatan : ...........................................................................................

Kabupaten : ...........................................................................................

12 . Dosen Pemb. Lapangan : ...........................................................................................

Kuliah Kerja Nyata : ...........................................................................................

13. IPK Sebelum Ujian Akhir : ...........................................................................................

Mengingat Pentingnya Data-data tersebut di atas sebagai bahan untuk pembuatan ijazah, maka

telah saya isi dengan sebenarnya. Apabila dikemudian hari ternyata palsu saya bersedia

menerima resikonya.

Purwokerto, ............................20.............

Yang Membuat

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

NIM




Perihal : Surat keterangan bebas pinjaman laboratorium

Fakultas Pertanian Unsoed

Yth. Sub. Bagian Pendidikan

Fakultas Pertanian Unsoed

Purwokerto

Yang bertanda tangan dibawah ini menerangkan bahwa :

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

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

Jurusan : ...................................................................................................

Program Studi : ...................................................................................................

Tingakat : ...................................................................................................

Telah menyelesaikan tugasnya, baik praktek laboratorium, lapangan dan sudah tidak lagi

mempunyai tanggungan / pinjaman alat-alat laboratorium Fakultas Pertanian Unsoed.

Kemudian harap menjadi maklum dan digunakan seperlunya.

1. Kepala Lab. Tanah/Sumberdaya Lahan

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

2. Kepala Lab. Perlindungan Tanaman

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

3. Kepala Lab. Agronomi dan Hortikultura

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

4. Kepala Lab. Pemuliaan Tanaman dan

Bioteknologi

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

5. Kepala Lab. Perenc. Dan Pengembangan

Sumberdaya

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

6. Kepala Lab. Manajemen Agribisnis

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

7. Kepala Lab. Teknologi Pengolahan

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

8. Kepala Lab. Manajemen Agroindustri

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

9. Kepala Lab. Pangan dan Gizi

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

10. Kepala Lab. Mekanisasi Pertanian

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

11. Kepala Lab. Komputer

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

12.




ISIAN BIODATA ALUMNI

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

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

Jenis Kelamin : ...........................................................................................

Tempat Lahir : ...........................................................................................

Tanggal Lahir : ...........................................................................................

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

IPK : ...........................................................................................

Predikat : ...........................................................................................

Agama : ...........................................................................................

Alamat Rumah : ...........................................................................................

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

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

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

Tahun Masuk : ...........................................................................................

Fakultas : ............................................................................................

Jurusan : ............................................................................................

Prog. Studi : ............................................................................................

Lama Studi : ............................................................................................

Asal SLTA : ............................................................................................

Tgl Lulus SLTA : ............................................................................................

Nama Orang Tua : ............................................................................................

Pekerjaan Orang Tua : ...........................................................................................

Alamat Orang Tua : ...........................................................................................

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

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

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

Judul Laporan : ...........................................................................................

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

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

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

Pembimbing Utama : ...........................................................................................

Yang Membuat

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

TANDA TERIMA

1. Telah terima usulan Penelitian dengan judul :

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

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

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

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

2. Laporan Praktik Kerja Lapangan dengan Judul :

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

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

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

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

Dengan demikian dapat digunakan sebagai persyaratan menempuh ujian akhir tingkat sarjana (

Pendadaran )

Purwokerto,

Yang menerima

Ketua Program Studi

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

NIP.

Yang Menyerahkan

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




SYARAT YUDISIUM

NAMA : ...................................................................................................................

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

PRODI / JURUSAN : ...................................................................................................................

NO. URUT : ...................................................................................................................

No. Pesyaratan Cheklist

1 Skripsi 3 buah dan CD Skripsi

2 Tanda terima skripsi

3 Bebas Perpus Fakultas dan tanda terima skripsi dari Perpus pusat

4 Pernyataan ACC format skripsi dari Pembimbing Skripsi

5 Bukti Pembayaran SPP terakhir

6 Transkrip 15 lembar

7 Bukti unggah artikel ilmiah

Purwokerto,..............................................20........ Petugas Pendaftaran

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

NIP.



FAKULTAS PERTANIAN

Jl. dr. Soeparno Kampus Karangwangkal Telp. (0281) 638791 Purwokerto 53123 Website : www.faperta.unsoed.ac.id

PERNYATAAN

Pembimbing skripsi telah meneliti kebenaran format skripsi dengan

judul...........................................................................................................................................................................

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

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

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

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

Yang ditulis oleh,

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

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

Dengan pernyataan ini, mahasiswa yang bersangkutan boleh mendaftar yudisium.

Purwokerto, ...........................................20......

Pembimbing Skripsi

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

NIP. ..............................................................

syarat_pendadaran

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