2017-04-06 Formulir 4 Yudisium Jurusan

UNIVERSITAS GADJAH MADA - FAKULTAS TEKNIK
UNIVERSITAS GADJAH MADA – FACULTY OF ENGINEERING

DEPARTEMEN TEKNIK GEOLOGI
DEPARTMENT OF GEOLOGICAL ENGINEERING
Jl.Grafika No.2 Kampus UGM, Yogyakarta 55281 Indonesia Telp. (0274) 513668 Fax (0274) 546039
Website: http://geologi.ugm.ac.id | E-mail: jtg.ft@ugm.ac.id
Form 4

SURAT KETERANGAN SELESAI PERBAIKAN SKRIPSI/TESIS
REFERENCE LETTER OF SCRIPT/THESIS REVISION
Yang bertanda tangan di bawah ini,
The undersigned below:
Nama
: ………………………………………………………………………………………………..
Name
Selaku dosen Pembimbing Skripsi/Tesis mahasiswa yang bernama :
As a Script/Thesis Advisor of student
Nama
: ………………………………………………………………………………………………..
Name

NIM
: ………………………………………………………………………………………………..
Student No.
Judul Skripsi/Tesis
: ………………………………………………………………………………………………..
Title of Script/Thesis
………………………………………………………………………………………………..
………………………………………………………………………………………………..
………………………………………………………………………………………………..
menyetujui dan menyatakan perbaikan naskah Skripsi/Tesis mahasiswa tersebut telah selesai.
approved and certifies that the revision of script/thesis manuscript of the student above has completed.
Dosen Pembimbing I,
Advisor

Yogyakarta,
Dosen Pembimbing II,
Co-Advisor

( ……………………………………. )
NIP.


( ……………………………………. )
NIP.

------------------------------------------------- potong disini/cut here ------------------------------------------

SURAT KETERANGAN SELESAI PERBAIKAN SKRIPSI/TESIS
REFERENCE LETTER OF SCRIPT/THESIS REVISION
Yang bertanda tangan di bawah ini,
The undersigned below:
Nama
: ………………………………………………………………………………………………..
Name
Selaku dosen Pembimbing Skripsi/Tesis mahasiswa yang bernama :
As a Script/Thesis Advisor of student
Nama
: ………………………………………………………………………………………………..
Name
NIM
: ………………………………………………………………………………………………..

Student No.
Judul Skripsi/Tesis
: ………………………………………………………………………………………………..
Title of Script/Thesis
………………………………………………………………………………………………..
………………………………………………………………………………………………..
………………………………………………………………………………………………..
menyetujui dan menyatakan perbaikan naskah Skripsi/Tesis mahasiswa tersebut telah selesai.
approved and certifies that the revision of script/thesis manuscript of the student above has completed.
Dosen Pembimbing I,
Advisor

Yogyakarta,
Dosen Pembimbing II,
Co-Advisor

( ……………………………………. )
NIP.

( ……………………………………. )

NIP.

UNIVERSITAS GADJAH MADA - FAKULTAS TEKNIK
UNIVERSITAS GADJAH MADA – FACULTY OF ENGINEERING

DEPARTEMEN TEKNIK GEOLOGI
DEPARTMENT OF GEOLOGICAL ENGINEERING
Jl.Grafika No.2 Kampus UGM, Yogyakarta 55281 Indonesia Telp. (0274) 513668 Fax (0274) 546039
Website: http://geologi.ugm.ac.id | E-mail: jtg.ft@ugm.ac.id