FEASIBILITY ASSESSMENT OF RESEARCH PROPOSAL
IV. Conversion of Number in Letter=
Academic Documents of Faculty of Veterinary Medicine Airlangga University 41
SEMINAR FORM :
AGENDA OF RESEARCH SEMINAR ASSESSMENT
Number : 1.2.06.000.007 Re-examined by :
Vice Dean I
Faculty of
Veterinary Medicine
Controlled by :
Head of The Quality Assurance Unit of the Faculty of Veterinary Medicine, Airlangga
University
Revision : 2 Page : Validation : 2014
On day : ….….. date: ……..……….. Time : …………, the examination seminar of research result has been presented by:
Student’s Name :
NIM :
Title of Paper’
:
Approval date of :
research proposal
First Supervisor :
Second Supervisor :
Examiner 1 (Head) :
Examiner 2 (Secretary) : Examiner 3 (Member) :
Academic Documents of Faculty of Veterinary Medicine Airlangga University 42
Reference Guidelines for Assessment:
A = >75,00 AB = 70 – 74,90 B = 65 – 69,90 BC = 60 – 64,90 C = 55 – 59,90 D = 40 – 54,90 E = < 40
Examiner who absent Name :
Reason :
Surabaya,
Head of Examiner Team,
( ) NIP.
Academic Documents of Faculty of Veterinary Medicine Airlangga University 43
SEMINAR FORM :
PROOF OF ASSESSMENT PASS SEMINAR
Number : 1.2.06.000.008 Re-examined by:
Vice Dean I
Faculty of
Veterinary Medicine
Controlled by :
Head of The Quality Assurance Unit of the Faculty of Veterinary Medicine, Airlangga
University
Revision : 2 Page : Validation : 2014
On day : ….….. date : ……..……….. Time: …………, the examination seminar has been done by:
Student’s Name :
NIM :
Title of Paper’
:
Approval date of :
research proposal
First Supervisor :
Second Supervisor :
Examiner 1 (Head) :
Examiner 2 (Secretary) : Examiner 3 (Member) :
Final mark =
Conversion of Number in Letter =
Based on the marks above, stated / determined that the student is::
(…….) : PASSED
(…….) : PASSED WITH CONDITION, student must make revision in accordance with the advice of Examiner/Thesis Advisor.
(…….) : FAILED, student must do re-assessment seminar at least 3 (three) months After the first assessment.
Surabaya,
Head of Examiner Team
( )
NIP.
Academic Documents of Faculty of Veterinary Medicine Airlangga University 44
SEMINAR FORM :
DEALING TIME OF THESIS EXAMINTION
Number : 1.2.06.000.009 Re-examined by :
Vice Dean I
Faculty of
Veterinary Medicine
Controlled by :
Head of The Quality Assurance Unit of the Faculty of Veterinary Medicine, Airlangga
University
Revision : 1 Page : Validation : 2014
Student’s Name :
NIM :
Title of Research :
First Thesis Advisor : Second Thesis Advisor :
Head of Examiner :
Sekretary :
Member :
Assessment seminar has been done on :
Day :
Date :
Time :
Thesis examination will be held on :
Day :
Date :
Time :
Surabaya, ……….
Head of Examiner, Secretary of Examiner, Member of Examiner I
( ) ( ) ( ) NIP. NIP. NIP.
Member of Examiner II Member of Examiner III (First Thesis Advisor), (Second Thesis Advisor),
( ) ( )
NIP. NIP.
Academic Documents of Faculty of Veterinary Medicine Airlangga University 45
SEMINAR FORM :
REVISION OF SEMINAR SCRIPT
Number : 1.2.06.000.010 Re-examined by :
Vice dean I
Fakultas Kedokteran Hewan
Controlled by :
Head of The Quality Assurance Unit of the Faculty of Veterinary Medicine, Airlangga
University
Revision : 2 Page : Validation : 2014
Student’s name :
NIM :
Title of Seminar :
First Thesis Advisor : Second Thesis Advisor :
Page Alinea, line Revision notes
Surabaya,
Thesis Advisor/Examiner,
( )
NIP.
*) Attached with Seminar Script which has been corrected by the student.
**) Included with Seminar Script to the Advisor and Examiner by SBAK
Academic Documents of Faculty of Veterinary Medicine Airlangga University 46
SEMINAR FORM :
INVITATION LETTER OF RESEARCH
SEMINAR Number : 1.2.06.000.011
Re-examined by : Vice dean I
Faculty of Veterinary Medicine
Controlled by :
Head of The Quality Assurance Unit of the Faculty of Veterinary Medicine, Airlangga
University
Revision : 2 Page : Validation : 2014
INVITATION LETTER OF RESEARCH RESULT SEMINAR
No :
About : Assessment of Research Seminar To The Honourable.
Faculty of Veterinary Medicine Airlangga University
We respectfully expect, the presence of Sir/Madam to Research Seminar as Team of Seminar Examiner that will be held on:
Day / Date :
Time :
Place:
Title of Seminar Paper :
Student’s Name :
NIM :
First Thesis Advisor : Second Thesis Advisor :
Head of Examiner :
Secretary :
Member :
Thanks for your attention.
Surabaya, Vice Dean I
Faculty Veterinary Medicine
Dr. Anwar Ma’ruf, drh.,M.Kes.
NIP. 196509051993031004
Academic Documents of Faculty of Veterinary Medicine Airlangga University 47
SEMINAR FORM :
APPROVAL SHEET OF SEMINAR SCRIPT
REVISION Number : 1.2.06.000.012
Re-examined by : Vice dean I
Faculty of Veterinary Medicine
Controlled by :
Head of The Quality Assurance Unit of the Faculty of Veterinary Medicine, Airlangga
University
Revision : 3 Page : Validation : 2014
The Thesis Advisor and Examiner has approved the revision of seminar script that proposed by:
Student’s Name :
NIM :
Title of Thesis :
Date of Seminar :
Thesis examination plan :
The Seminar Script has been fixed by the student with suggestions that proposed in seminar.
Examiner Committee :
Head of Examiner Member of Examiner I Member of Examiner II
( ) ( ) ( )
NIP. NIP. NIP.
Thesis Advisor Committee:
First Thesis Advisor Second Thesis Advisor
( ) ( )
NIP. NIP.
Academic Documents of Faculty of Veterinary Medicine Airlangga University 48
SEMINAR-THESIS FORM APPROVAL OF ROOM USING FOR
SEMINAR-THESIS Number : 1.2.06.000.013
Re-examined by : Vice Dean I
Faculty of Veterinary Medicine
Controlled by :
Head of The Quality Assurance Unit of the Faculty of Veterinary Medicine, Airlangga
University
Revision:
Page :
Validation : 2014
I who assigned below, allow the use of room for seminar-thesis:
Day / Date :
Time :
Place :
Student’s Name :
NIM :
Head of Sub General Division
NIP.
Note:
1. Student must coordinate to the person in charge of the room
2. Student must not ask other operator outside of FKH UA during the presentation
Academic Documents of Faculty of Veterinary Medicine Airlangga University 49
PROCEDURE GUIDELINES : SEMINAR EXAMINATION PROCEDURES
Number : 1.2.08 Re-examined by :
Vice dean I
Faculty of Veterinary Medicine
Controlled by :
Head of The Quality Assurance Unit of the Faculty of Veterinary Medicine, Airlangga
University
Revision : 2 Page : Validation : 2014