PERSETUJUAN PELAKSANAAN UJIAN SEMPROP SEMHAS

KEMENTERIAN RISET, TEKNOLOGI DAN PENDIDIKAN TINGGI

UNIVERSITAS JENDERAL SOEDIRMAN
FAKULTAS PERIKANAN DAN ILMU KELAUTAN
Jalan dr. Suparno Komp. GOR Susilo Sudarman Karangwangkal Purwokerto
Telp. & Fax. (0281) 642360 & 7607433 Website : fpik.unsoed.ac.id

PERSETUJUAN PELAKSANAAN
SEMINAR USULAN PENELITIAN/ UJIAN SKRIPSI
Menyatakan bahwa mahasiswa tersebut di bawah ini telah disetujui untuk melaksanakan Seminar usulan
penelitian / Ujian skripsi*) :
Nama
NIM
Program Studi
Judul

Pada hari/tanggal
Waktu
Tempat

:

:
:
:

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Purwokerto, ........................20....
Pembimbing I,

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

Pembimbing II,

(..................................................)
NIP. ............................................

(..................................................)
NIP. ............................................

KEMENTERIAN RISET, TEKNOLOGI DAN PENDIDIKAN TINGGI

UNIVERSITAS JENDERAL SOEDIRMAN
FAKULTAS PERIKANAN DAN ILMU KELAUTAN
Jalan dr. Suparno Komp. GOR Susilo Sudarman Karangwangkal Purwokerto
Telp. & Fax. (0281) 642360 & 7607433 Website : fpik.unsoed.ac.id

SURAT KETERANGAN KESEDIAAN PEMBIMBING/PENELAAH UNTUK
PELAKSANAAN SEMINAR UP / UJIAN SKRIPSI
Nama

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


NIM

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

Program Studi

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

Judul Skripsi

: ............................................................................................................
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............................................................................................................
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Tim Penguji Seminar UP / Ujian Skripsi :
Tanggal/
No


Nama Dosen

Tugas
Tanda tangan

1.

2.

3.

4.

MATRIKS KESEDIAAN DOSEN PENGUJI
N
o

Nama Dosen

Tugas


1.

Pembimbing I

2.

Pembimbing II

3.

Penelaah I

4.

Penelaah II

Minggu I

Jadwal Pelaksanaan


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

Hari/tanggal

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

Waktu

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

Tempat

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

Bulan : ………………………………………….
Minggu II
Minggu III
Minggu IV


Minggu V