JUDUL PROPOSAL SKRIPSI/TESIS/DISERTASI (14pt) (SUBJUDUL SKRIPSI/TESIS/DISERTASI)* (12pt)

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JUDUL PROPOSAL SKRIPSI/TESIS/DISERTASI (14pt)

(SUBJUDUL SKRIPSI/TESIS/DISERTASI)* (12pt)

PROPOSAL SKRIPSI/TESIS/DISERTASI

oleh

Wahyu Jatmiko (Nama Mahasiswa) 09/123456/PTK/123 (Nomor Mahasiswa)

PROGRAM STUDI SARJANA/MAGISTER/DOKTOR TEKNIK GEOLOGI DEPARTEMEN TEKNIK GEOLOGI

FAKULTAS TEKNIK UNIVERSITAS GADJAH MADA

YOGYAKARTA Januari 2018 *jika ada

COVER LUAR

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UNDERGRADUATE THESIS/MASTER THESIS/DISSERTATION

PROPOSAL TITLE (14pt)

(UNDERGRADUATE THESIS/MASTER THESIS/DISSERTATION SUBTITLE)* (12pt)

PROPOSAL UNDERGRADUATE/MASTER THESIS/DISSERTATION

by

Emil Karmila (Name of Student) 10/123456/PMU/234 (Academic Number)

BACHELOR IN GEOLOGICAL ENGINEERING PROGRAM/MASTER IN GEOLOGICAL ENGINEERING PROGRAM/DOCTOR IN GEOLOGICAL

ENGINEERING PROGRAM

DEPARTMENT OF GEOLOGICAL ENGINEERING FACULTY OF ENGINEERING

UNIVERSITAS GADJAH MADA YOGYAKARTA

January, 2018 *if any

PROPOSAL OUTER COVER

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JUDUL SKRIPSI/TESIS/DISERTASI (14pt)

(SUBJUDUL SKRIPSI/TESIS/DISERTASI) (12pt)

SKRIPSI/TESIS/DISERTASI

oleh

YOGYAKARTA 2018

COVER LUAR

(4)

UNDERGRADUATE THESIS/MASTER THESIS/DISSERTATION

TITLE (14pt)

(UNDERGRADUATE THESIS/MASTER THESIS/DISSERTATION SUBTITLE) (12pt)

UNDERGRADUATE THESIS/MASTER THESIS/DISSERTATION

by

ENGINEERING PROGRAM

2018

UNDERGRADUATE THESIS/MASTER THESIS/DISSERTATION OUTER COVER

(5)

JUDUL NASKAH PUBLIKASI/RINGKASAN

NASKAH PUBLIKASI/RINGKASAN

oleh

PROGRAM STUDI MAGISTER/DOKTOR TEKNIK GEOLOGI DEPARTEMEN TEKNIK GEOLOGI

YOGYAKARTA 2018

COVER LUAR

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PUBLICATION/SUMMARY TITLE

PUBLICATION/SUMMARY

by

MASTER IN GEOLOGICAL ENGINEERING PROGRAM/DOCTOR IN GEOLOGICAL ENGINEERING PROGRAM

2018

PUBLICATION/SUMMARY MANUSCRIPT OUTER COVER

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JUDUL PROPOSAL SKRIPSI/TESIS/DISERTASI (14pt)

Proposal Skripsi/Tesis/Disertasi

Program Studi Sarjana/Magister/Doktor Teknik Geologi

diajukan oleh

kepada

YOGYAKARTA Januari, 2018

COVER DALAM

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UNDERGRADUATE THESIS/MASTER THESIS/DISSERTATION

PROPOSAL TITLE (14pt)

Undergraduate Thesis/Master Thesis/Dissertation Proposal

Bachelor in Geological Engineering Program/Master in Geological Engineering Program/Doctor in Geological Engineering Program

submitted by

to

ENGINEERING PROGRAM

January, 2018

PROPOSAL INNER COVER

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JUDUL SKRIPSI/TESIS/DISERTASI (14pt)

Skripsi/Tesis/Disertasi

untuk memenuhi sebagian persyaratan mencapai derajat Sarjana/Master/Doktor

Program Studi Sarjana/Magister/Doktor Teknik Geologi

diajukan oleh

Tarman Azzam (nama mahasiswa) 08/278256/PTK/5811 (nomor mahasiswa)

kepada

YOGYAKARTA 2018

COVER DALAM

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UNDERGRADUATE THESIS/MASTER THESIS/DISSERTATION

TITLE

Undergraduate Thesis/Master Thesis/Dissertation presented as partial fulfilment for the requirement to obtain the Bachelor Degree/Master Degree/Doctoral Degree

in Bachelor in Geological Engineering Program/Master in Geological Engineering Program/Doctor in Geological Engineering Program

submitted by

Tarman Azzam (name of student) 08/278256/PMU/5811 (academic number)

to

ENGINEERING PROGRAM

2018

UNDERGRADUATE THESIS/MASTER THESIS/DISSERTATION INNER COVER

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JUDUL PROPOSAL DISERTASI/DISERTASI (14pt)

(SUBJUDUL PROPOSAL DISERTASI/DISERTASI) (12pt)

Proposal Disertasi/Disertasi

untuk memperoleh derajat Doktor dalam Ilmu Geologi Program Studi Doktor Teknik Geologi

Fakultas Teknik Universitas Gadjah Mada

diajukan oleh

lahir di ……….

COVER DALAM PROPOSAL DISERTASI/DISERTASI #1 Cover ini dipergunakan sebelum ujian

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DISSERTATION PROPOSAL/DISSERTATION TITLE (14pt)

(DISSERTATION PROPOSAL/DISSERTATION SUBTITLE)* (12pt)

Dissertation Proposal/Dissertation

to obtain the Doctoral Degree in Geological Engineering Faculty of Engineering

Universitas Gadjah Mada

submitted by

born in ……….

DISSERTATION PROPOSAL/DISSERTATION INNER COVER #1 This cover is used before proposal examination/closed

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JUDUL PROPOSAL DISERTASI/DISERTASI (14pt)

(SUBJUDUL PROPOSAL DISERTASI/DISERTASI) (12pt)

Proposal Disertasi/Disertasi untuk memperoleh derajat Doktor Program Studi Doktor Teknik Geologi

Dipertahankan di hadapan Dewan Penguji Program Studi Doktor Teknik Geologi

Fakultas Teknik Universitas Gadjah Mada

Pada Tanggal ……..

diajukan oleh

lahir di ……….

COVER DALAM PROPOSAL DISERTASI/DISERTASI #2 Cover ini dipergunakan setelah ujian proposal/ujian

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DISSERTATION PROPOSAL/DISSERTATION TITLE (14pt)

was defended in front of the Board of Examiners in Doctor in Geological Engineering Program

Faculty of Engineering

on the date ……. (date of exam)

submitted by

born in ……….

DISSERTATION PROPOSAL/DISSERTATION INNER COVER #2 This cover is used after proposal examination/closed

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DISSERTATION PROPOSAL/DISSERTATION TITLE (14pt)

was defended in front of the Board of Examiners in Doctor in Geological Engineering Program

Faculty of Engineering

on the date ……. (date of exam)

submitted by

Tarman Azzam (name of Student) 08/278256/PTK/5811 (academic number)

born in ……….

DISSERTATION PROPOSAL/DISSERTATION INNER COVER #2 This cover is used after proposal examination/closed

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PROPOSAL SKRIPSI/TESIS

JUDUL PROPOSAL SKRIPSI/TESIS

(SUBJUDUL PROPOSAL SKRIPSI/TESIS)

diajukan oleh

Wahyu Jatmiko (Nama mahasiswa) 09/123456/PMU/123 (Nomor Mahasiswa)

disetujui oleh

Calon Pembimbing Utama, Calon Pembimbing Pendamping,

Nama Dosen Nama Dosen

NIP Dosen NIP Dosen

Lembar Pengesahan ini dipakai sebelum/untuk mengajukan ujian proposal

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PROPOSAL SKRIPSI/TESIS

JUDUL PROPOSAL SKRIPSI/TESIS

diajukan oleh

disetujui oleh: Calon Pembimbing Utama,

Nama Dosen NIP Dosen

Lembar Pengesahan ini dipakai sebelum/untuk mengajukan ujian proposal

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UNDERGRADUATE THESIS/MASTER THESISPROPOSAL

UNDERGRADUATE THESIS/ MASTER THESIS PROPOSAL TITLE

(UNDERGRADUATE THESIS/MASTER THESIS PROPOSAL SUBTITLE)

Submitted by

Approved by

Candidate of Supervisor, Candidate of Co-Supervisor,

Name Name

NIP NIP

This attestation form is used before/for applying proposal examination

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UNDERGRADUATE THESIS/MASTER THESISPROPOSAL

UNDERGRADUATE THESIS/MASTER THESIS PROPOSAL TITLE

(UNDERGRADUATE THESIS/MASTER THESIS PROPOSAL SUBTITLE)

Submitted by

Approved by Candidate of Supervisor,

Name NIP

This attestation form is used before/for applying proposal examination

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PROPOSAL DISERTASI/DISERTASI

JUDUL PROPOSAL DISERTASI/DISERTASI

diajukan oleh

yang diajukan untuk ujian proposal/ujian tertutup

disetujui oleh: Nama tanggal ………. Promotor Nama tanggal ………. Ko-Promotor I Nama Ko-Promotor II tanggal ……….

Halaman persetujuan ini dipergunakan sebelum ujian proposal/ujian tertutup

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DISSERTATION PROPOSAL/DISSERTATION

DISSERTATION PROPOSAL/DISSERTATION TITLE

submitted by

Wahyu Jatmiko (name of student) 09/123456/PMU/123 (academic number)

was submitted for proposal examination/closed examination

approved by: Name date ………. Supervisor Nama date ………. Co-Supervisor I Nama

Co-Supervisor II date ……….

This attestation form is used before proposal examination/closed examination

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PROPOSAL SKRIPSI/TESIS

JUDUL PROPOSAL SKRIPSI/TESIS

yang dipersiapkan dan disusun oleh Wahyu Jatmiko (Nama mahasiswa) 09/123456/PMU/123 (Nomor Mahasiswa) telah dipresentasikan di depan Dewan Penguji

pada tanggal ....

dan dinyatakan diterima dan diperbaiki sesuai hasil ujian proposal

Susunan Tim Penguji

Calon Pembimbing Utama, Ketua Penguji,

NIP Dosen NIP Dosen

Calon Pembimbing Pendamping, Anggota Penguji,

NIP Dosen NIP Dosen

Yogyakarta, ……… 20 …

Ketua Program Studi Sarjana/Magister Teknik Geologi,

Nama ……… NIP ………

Lembar pengesahan ini dipakai setelah ujian proposal/revisi akhir

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PROPOSAL SKRIPSI/TESIS

JUDUL PROPOSAL SKRIPSI/TESIS

yang dipersiapkan dan disusun oleh Wahyu Jatmiko (Nama mahasiswa) 09/123456/PMU/123 (Nomor Mahasiswa) telah dipresentasikan di depan Dewan Penguji

pada tanggal ....

dan dinyatakan diterima dan diperbaiki sesuai hasil ujian proposal

Calon Pembimbing, Ketua Penguji,

NIP Dosen NIP Dosen

Anggota Penguji,

Lembar pengesahan ini dipakai setelah ujian proposal/revisi akhir

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UNDERGRADUATE THESIS/MASTER THESIS PROPOSAL

UNDERGRADUATE THESIS/MASTER THESIS PROPOSAL TITLE

prepared by

Emil Karmila (name of student) 10/123456/PMU/234 (academic number)

presented to the Board of Examiners on ………….. (date of exam)

and accepted and revised according to the proposal exam

Board of Examiners Supervisor, Chairman, Name Name NIP NIP Co-Supervisor, Examiner, Name Name NIP NIP Yogyakarta, ……… 20 ……..

Program Manager of Bachelor in Geological Engineering/Master in Geological Engineering,

Name ……… NIP ………

This attestation form is used after proposal examination/final revision

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UNDERGRADUATE THESIS/MASTER THESIS PROPOSAL

UNDERGRADUATE THESIS/MASTER THESIS PROPOSAL TITLE

prepared by

Emil Karmila (name of student) 10/123456/PMU/234 (academic number)

presented to the Board of Examiners on ………….. (date of exam)

and accepted and revised according to the proposal exam

Board of Examiners Advisor, Chairman, Name Name NIP NIP Examiner, Name NIP Yogyakarta, ……… 20 ……..

This attestation form is used after proposal examination/final revision

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SKRIPSI/TESIS

JUDUL SKRIPSI/TESIS

(SUBJUDUL SKRIPSI/TESIS)

diajukan oleh

disetujui oleh

Pembimbing Utama, Pembimbing Pendamping,

NIP Dosen NIP Dosen

Lembar pengesahan ini dipakai setelah ujian kolokium/untuk mengajukan ujian skripsi/tesis

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SKRIPSI/TESIS

JUDUL SKRIPSI/TESIS

(SUBJUDUL SKRIPSI/TESIS)

diajukan oleh

disetujui oleh Pembimbing Utama,

Lembar pengesahan ini dipakai setelah ujian kolokium/untuk mengajukan ujian skripsi/tesis

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UNDERGRADUATE THESIS/MASTER THESIS

UNDERGRADUATE THESIS/ MASTER THESIS TITLE

(UNDERGRADUATE THESIS/MASTER THESIS SUBTITLE)

Submitted by

Approved by Supervisor, Co-Supervisor, Name Name NIP NIP Yogyakarta, ……… 20 ……..

This attestation form is used after colloquium examination/for applying undergraduate

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UNDERGRADUATE THESIS/MASTER THESIS TITLE

(UNDERGRADUATE THESIS/MASTER THESIS SUBTITLE)

Submitted by

Approved by Supervisor,

Name NIP

Yogyakarta, ……… 20 ……..

This attestation form is used after colloquium examination/for applying undergraduate

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PROPOSAL DISERTASI/DISERTASI

JUDUL PROPOSAL DISERTASI/DISERTASI

diajukan oleh

yang telah diperbaiki sesuai saran dari Tim Penguji Ujian Proposal/Tim Penguji Ujian Tertutup disetujui oleh: Nama tanggal ………. Promotor Nama tanggal ………. Ko-Promotor I Nama Ko-Promotor II tanggal ………. Nama tanggal ………. Penguji Nama Penguji tanggal ………. Nama Penguji tanggal ……….

Halaman persetujuan ini dipergunakan setelah ujian proposal/ujian tertutup

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DISSERTATION PROPOSAL/DISSERTATION

DISSERTATION PROPOSAL/DISSERTATION TITLE

submitted by

was revised according to The Board of Examiners suggestion of Proposal Examination/Closed Examination approved by: Name date ………. Promoter Name date ………. Co-Promoter I Name Co-Promoter II date ………. Name date ………. Examiner Name Examiner date ………. Name Examiner date ……….

This attestation form is used after proposal examination/closed examination

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SKRIPSI/TESIS

JUDUL SKRIPSI/TESIS

yang dipersiapkan dan disusun oleh Wahyu Jatmiko (Nama mahasiswa) 09/123456/PTK/123 (Nomor Mahasiswa) telah dipertahankan di depan Dewan Penguji

pada tanggal .... dan dinyatakan lulus Susunan Tim Penguji

Pembimbing Utama, Ketua Penguji,

NIP Dosen NIP Dosen

Pembimbing Pendamping, Anggota Penguji,

NIP Dosen NIP Dosen

Skripsi/Tesis ini telah diterima sebagai salah satu syarat untuk mendapatkan gelar Sarjana/Master Teknik Program Studi Sarjana/Magister Teknik Geologi

Fakultas Teknik, Universitas Gadjah Mada Yogyakarta, ……… 20 …

Mengetahui,

Ketua Departemen Teknik Geologi,

Lembar pengesahan ini dipakai setelah ujian pendadaran skripsi/tesis (setelah

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SKRIPSI/TESIS

JUDUL SKRIPSI/TESIS

yang dipersiapkan dan disusun oleh Wahyu Jatmiko (Nama mahasiswa) 09/123456/PTK/123 (Nomor Mahasiswa) telah dipertahankan di depan Dewan Penguji

pada tanggal .... dan dinyatakan lulus

Pembimbing, Ketua Penguji,

NIP Dosen NIP Dosen

Anggota Penguji,

Skripsi/Tesis ini telah diterima sebagai salah satu syarat untuk mendapatkan gelar Sarjana/Master Teknik Program Studi Sarjana/Magister Teknik Geologi

Fakultas Teknik, Universitas Gadjah Mada

Mengetahui,

Ketua Departemen Teknik Geologi,

Lembar pengesahan ini dipakai setelah ujian pendadaran skripsi/tesis (setelah

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UNDERGRADUATE THESIS/MASTER THESIS TITLE

Prepared by

Tarman Azzam (name of student) 08/278256/PTK/5811 (academic number) was defended in front of the Board of Examiners

on the date ……. (date of exam) and certified Board of Examiners Supervisor, Chairman, Name Name NIP NIP Co-Supervisor, Examiner, Name Name NIP NIP

This script/thesis was declared acceptable to obtain The Bachelor Degree/Master Degree

in Geological Engineering

Faculty of Engineering, Universitas Gadjah Mada

Yogyakarta, ……… 20 … Program Manager, Name ……… NIP ………

Acknowledged

Head of Geological Engineering Departement,

This attestation form is used after final examination (after final revision)

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UNDERGRADUATE THESIS/MASTER THESIS TITLE

Prepared by

Tarman Azzam (name of student) 08/278256/PTK/5811 (academic number) was defended in front of the Board of Examiners

on the date ……. (date of exam) and certified Board of Examiners Supervisor, Chairman, Name Name NIP NIP Examiner, Name NIP

This script/thesis/dissertation was declared acceptable to obtain The Bachelor Degree/Master Degree

in Geological Engineering

Faculty of Engineering, Universitas Gadjah Mada

Yogyakarta, ……… 20 … Program Manager, Name ……… NIP ………

Acknowledged

Head of Geological Engineering Departement,

This attestation form is used after final examination (after final revision)

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DISERTASI

JUDUL DISERTASI

diajukan oleh

yang telah diperbaiki sesuai saran dari Tim Penguji Ujian Tertutup

disetujui oleh:

Nama tanggal ……….

Ketua Tim Penguji

Nama tanggal ………. Promotor Nama tanggal ………. Ko-Promotor I Nama Ko-Promotor II tanggal ………. Nama tanggal ………. Penguji Nama Penguji tanggal ………. Nama Penguji tanggal ……….

Halaman persetujuan ini dipergunakan sebagai lampiran/kelengkapan syarat yudisium/ujian

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DISSERTATION

DISSERTATION TITLE

submitted by

was revised according to The Board of Examiners suggestion of Closed Examination

approved by: Name date ………. Chairman Name date ………. Supervisor Name date ………. Co-Supervisor I Name Co-Suoervisor II date ………. Name date ………. Examiner Name Examiner date ………. Name Examiner date ……….

This attestation form is used as attachment file/part of list of judisium requirement/open examination/graduation

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NASKAH PUBLIKASI/RINGKASAN

JUDUL PUBLIKASI/RINGKASAN

oleh

disetujui oleh

Pembimbing Utama, Pembimbing Pendamping,

NIP Dosen NIP Dosen

Mengetahui,

Ketua Program Studi Magister Teknik Geologi,

Lembar pengesahan Naskah Publikasi/Ringkasan

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PUBLICATION/SUMMARY MANUSCRIPT

PUBLICATION/SUMMARY TITLE

by

Approved by

Supervisor, Co-Supervisor,

Name Name

NIP NIP

Acknowledged,

Program Manager of Master in Geological Engineering,

publication/summary attestation form