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KEMENTERIAN PENDIDIKAN DAN KEBUDAYAAN UNIVERSITAS JENDERAL SOEDIRMAN FAKULTAS PERTANIAN



Jalan dr. Soeparno 61 Karangwangkal - Purwokerto Kode Pos.53123 Telepon (0281) 638791 Faksimile (0281) 638791 Email : [email protected] Laman : http://faperta.unsoed.ac.id BERKAS SIDANG SKRIPSI Nama Mahasiswa



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



NIM



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



Jurusan



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



Program Studi



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



Telah Melaksanakan: 1. Seminar Proposal Penelitian 2. Seminar Hasil Penelitian No



Syarat - syarat



Keterangan



1



Foto Copy Kartu Studi Mahasiswa (KSM)



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Surat Keterangan Selesai Praktek Penelitian



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Surat Keterangan Bebas Laboratorium Sesuai Dengan Program Studi



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Biodata Alumni ( rangkap 3 )



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



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Menyerahkan Kartu Konsultasi Skripsi dan Kartu Seminar



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Foto Copy Transkrip Sebanyak 8 Lembar



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Usulan Penelitian dan PKL ( Tanda Terima dari Masing-masing Program Studi )



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Foto Copy Nilai UEPT



Purwokerto,................................20.... Subag Akademik dan Kemahasiswaan.



......................................................... NIP. Catatan : Stopmap Sesuai Program Studi/ Jurusan Agroteknologi : Warna Hijau Tek. Pert. : Warna Biru Sosek : Warna Merah



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



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Di



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Kecamatan



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Kabupaten



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Demikian untuk diketahui dan digunakan seperlunya. Diketahui : Pembimbing I



Pembimbing II



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



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



FORMULIR PERSYARATAN UJIAN AKHIR TINGKAT SARJANA FAKULTAS PERTANIAN



1.



Nama Lengkap



:



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



2.



Nomor Induk Mahasiswa



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



3.



Program Studi



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



4.



Tempat Tgl. Lahir



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



5.



Masuk Fak. Pertanian



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



6.



Alamat Kost



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Alamat Rumah



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



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Sripsi



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



Mulai Tanggal/Bulan



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



Selesai s/d Ujian Skripsi



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



Judul



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



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Dosen Pembimbing I



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Dosen Pembimbing II



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Praktik Kerja Lapang



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Mulai Tgl / Bulan



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Selesai Ujian Tgl



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Judul



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10.



11.



12 .



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Dosen Pembimbing



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Kuliah Kera Nyata



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Mulai Tanggal



:



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Selesai tanggal



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



Nilai



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Lokasi Kuliah Kerja Nyata



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



Desa



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Kecamatan



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Kabupaten



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Dosen Pemb. Lapangan



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Kuliah Kerja Nyata



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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 bersedian menerima resikonya. Purwokerto, ............................20...... Yang Membuat



............................................................ NIM



KEMENTERIAN PENDIDIKAN DAN KEBUDAYAAN UNIVERSITAS JENDERAL SOEDIRMAN FAKULTAS PERTANIAN



Jalan dr. Soeparno 61 Karangwangkal - Purwokerto Kode Pos.53123 Telepon (0281) 638791 Faksimile (0281) 638791 Email : [email protected] Laman : http://faperta.unsoed.ac.id



Perihal : Surat keterangan bebas pinjaman laboratorium Fakultas Pertanian Unsoed Yth. Sub. Bagian Akademik dan Kemahasiswaan Fakultas Pertanian Unsoed Purwokerto Yang bertanda tangan dibawah ini menerangkan bahwa : Nama NIM Jurusan Program Studi Tingakat



: : : : :



................................................................................................... ................................................................................................... Teknologi Pertanian TEP dan ITP ...................................................................................................



Telah menyelesaikan tugasnya, baik praktek laboratorium, lapangan dan sudah tidak lagi mempunyai tenggungan / pinjaman alat-alat laboratorium Fakultas Pertanian Unsoed. Kemudian harap menjadi maklum dan digunakan seperlunya. 1. Kepala Lab. Teknologi Pengolahan



Dr. Ike Sitoresmi Mulyo P., S.TP, M.Sc. NIP. 197310181999032001 3. Kepala Lab. Pangan dan Gizi



2. Kepala Lab. Manajemen Agroindustri



Dr. Ir. Tri Yanto, M.T. NIP. 196212011987021001



Dra. Erminawati, M.Sc., Ph.D. NIP. 195702151981112001



KEMENTERIAN PENDIDIKAN DAN KEBUDAYAAN UNIVERSITAS JENDERAL SOEDIRMAN FAKULTAS PERTANIAN



Jalan dr. Soeparno 61 Karangwangkal - Purwokerto Kode Pos.53123 Telepon (0281) 638791 Faksimile (0281) 638791 Email : [email protected] Laman : http://faperta.unsoed.ac.id Perihal : Surat keterangan bebas pinjaman laboratorium



Fakultas Pertanian Unsoed Yth. Sub. Bagian Akademik dan Kemahasiswaan Fakultas Pertanian Unsoed Purwokerto Yang bertanda tangan dibawah ini menerangkan bahwa : Nama NIM Jurusan Program Studi Tingakat



: : : : :



................................................................................................... ................................................................................................... Sosial Ekonomi Pertanian Agribisnis ...................................................................................................



Telah menyelesaikan tugasnya, baik praktek laboratorium, lapangan dan sudah tidak lagi mempunyai tenggungan / pinjaman alat-alat laboratorium Fakultas Pertanian Unsoed. Kemudian harap menjadi maklum dan digunakan seperlunya. 1.



Kepala Lab. Perenc. Dan Pengembangan Sumberdaya Budi Dharmawan, S.P., M.Si., Ph.D. NIP. 198009092003121003



2. Kepala Lab. Manajemen Agribisnis



Ratna Satriani, S.P., M.Sc. NIP. 198308282009122002



KEMENTERIAN PENDIDIKAN DAN KEBUDAYAAN UNIVERSITAS JENDERAL SOEDIRMAN FAKULTAS PERTANIAN



Jalan dr. Soeparno 61 Karangwangkal - Purwokerto Kode Pos.53123 Telepon (0281) 638791 Faksimile (0281) 638791 Email : [email protected] Laman : http://faperta.unsoed.ac.id Perihal : Surat keterangan bebas pinjaman laboratorium Fakultas Pertanian Unsoed



Yth. Sub. Bagian Akademik dan Kemahasiswaan Fakultas Pertanian Unsoed Purwokerto Yang bertanda tangan dibawah ini menerangkan bahwa : Nama NIM Jurusan Program Studi Tingakat



: : : : :



................................................................................................... ................................................................................................... Agroteknologi Agroteknologi ...................................................................................................



Telah menyelesaikan tugasnya, baik praktek laboratorium, lapangan dan sudah tidak lagi mempunyai tenggungan / 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.



Dr. Ir. Tamad, M.P. NIP. 196510271990031002 Kepala Lab. Agronomi dan Hortikultura



Dr. Ir. Nur Prihatiningsih, M.S. NIP. 196105141986012001 4. Kepala Lab. Pemuliaan Tanaman dan Bioteknologi



Ir. Agus Sarjito, M.Sc NIP. 196010131987031001 5. Kepala Lab. Agroekologi



Fatichin, S.P., M.P., Ph.D. NIP. 197704232003121002



Ahadiyat Yugi R., S.P., M.Si. D.Tech. Sc. NIP. 197102141999031002



KEMENTERIAN PENDIDIKAN DAN KEBUDAYAAN UNIVERSITAS JENDERAL SOEDIRMAN FAKULTAS PERTANIAN



Jalan dr. Soeparno 61 Karangwangkal - Purwokerto Kode Pos.53123 Telepon (0281) 638791 Faksimile (0281) 638791 Email : [email protected] Laman : http://faperta.unsoed.ac.id



ISIAN BIODATA ALUMNI Nama



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



NIM Jenis Kelamin Tempat Lahir Tanggal Lahir Tanggal Lulus IPK Predikat Agama Alamat Rumah



: : : : : : : : :



HP 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 USULAN PENELITIAN DAN PKL



1. Telah terima usulan penelitian dengan judul : .......................................................................................................................................................... .......................................................................................................................................................... ..........................................................................................................................................................



.......................................................................................................................................................... 2. Laporan Praktik Kerja Lapangan dengan Judul : .......................................................................................................................................................... .......................................................................................................................................................... .......................................................................................................................................................... .......................................................................................................................................................... Dengan demikian dapat digunakan sebagai persyaratan Untuk Pendadaran



Purwokerto, …………………… 2020 Yang menerima Ketua Program Studi



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



Yang Menyerahkan



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



KEMENTERIAN PENDIDIKAN DAN KEBUDAYAAN UNIVERSITAS JENDERAL SOEDIRMAN FAKULTAS PERTANIAN



Jalan dr. Soeparno 61 Karangwangkal - Purwokerto Kode Pos.53123 Telepon (0281) 638791 Faksimile (0281) 638791 Email : [email protected] Laman : http://faperta.unsoed.ac.id



SYARAT YUDISIUM



NAMA



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



NIM



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



PRODI / JURUSAN : ................................................................................................................... NO. URUT



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



No.



Pesyaratan



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Foto Copy Kwitansi SPP / UKT



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Tanda Terima Skripsi dari Perpustakaan Unsoed



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Tanda Terima Skripsi dari Pembimbing I dan Pembimbing II



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Menyerahkan CD Skripsi



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Menyerahkan Kartu Kendali ( Kartu Kegiatan Mhs )



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Surat keterangan unggah artikel ilmiah



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Surat Keterangan Bebas Perpustakaan Unsoed dan Fakultas



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Surat Keterangan ( Tanda Terima Skripsi ) Dari Perpus Pusat



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



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Transkrip 15 lembar



Checklist



Purwokerto,..............................................2020 Petugas Pendaftaran



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