JUDUL PROPOSAL SKRIPSI/TESIS/DISERTASI (14pt)
(SUBJUDUL SKRIPSI/TESIS/DISERTASI)* (12pt)
PROPOSAL SKRIPSI/TESIS/DISERTASI
oleh
Bunga Melati (Nama Mahasiswa) 18/123456/PTK/12345 (Nomor Mahasiswa)
PROGRAM STUDI SARJANA/MAGISTER/DOKTOR TEKNIK GEOLOGI DEPARTEMEN TEKNIK GEOLOGI
FAKULTAS TEKNIK UNIVERSITAS GADJAH MADA
YOGYAKARTA Januari 2018
*jika ada
COVER LUAR PROPOSAL
▸ Baca selengkapnya: judul proposal perikanan
(2)UNDERGRADUATE THESIS/MASTER THESIS/DISSERTATION PROPOSAL TITLE (14pt)
(UNDERGRADUATE THESIS/MASTER THESIS/DISSERTATION SUBTITLE)*
(12pt)
PROPOSAL UNDERGRADUATE/MASTER THESIS/DISSERTATION
by
Bunga Melati (Name of Student) 18/123456/PTK/12345 (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
JUDUL SKRIPSI/TESIS/DISERTASI (14pt)
(SUBJUDUL SKRIPSI/TESIS/DISERTASI) (12pt)
SKRIPSI/TESIS/DISERTASI
oleh
Bunga Melati (Nama Mahasiswa) 18/123456/PTK/12345 (Nomor Mahasiswa)
PROGRAM STUDI SARJANA/MAGISTER/DOKTOR TEKNIK GEOLOGI DEPARTEMEN TEKNIK GEOLOGI
FAKULTAS TEKNIK UNIVERSITAS GADJAH MADA
YOGYAKARTA 2018
COVER LUAR SKRIPSI/TESIS/DISERTASI
UNDERGRADUATE THESIS/MASTER THESIS/DISSERTATION TITLE (14pt)
(UNDERGRADUATE THESIS/MASTER THESIS/DISSERTATION SUBTITLE) (12pt)
UNDERGRADUATE THESIS/MASTER THESIS/DISSERTATION
by
Bunga Melati (Name of Student) 18/123456/PTK/12345 (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
2018
UNDERGRADUATE THESIS/MASTER THESIS/DISSERTATION OUTER COVER
JUDUL NASKAH PUBLIKASI/RINGKASAN
NASKAH PUBLIKASI/RINGKASAN
oleh
Bunga Melati (Nama Mahasiswa) 18/123456/PTK/12345 (Nomor Mahasiswa)
PROGRAM STUDI MAGISTER/DOKTOR TEKNIK GEOLOGI DEPARTEMEN TEKNIK GEOLOGI
FAKULTAS TEKNIK UNIVERSITAS GADJAH MADA
YOGYAKARTA 2018
COVER LUAR
NASKAH PUBLIKASI/RINGKASAN
PUBLICATION/SUMMARY TITLE
PUBLICATION/SUMMARY
by
Bunga Melati (Name of Student) 18/123456/PTK/12345 (Academic Number)
MASTER IN GEOLOGICAL ENGINEERING PROGRAM/DOCTOR IN GEOLOGICAL ENGINEERING PROGRAM
DEPARTMENT OF GEOLOGICAL ENGINEERING FACULTY OF ENGINEERING
UNIVERSITAS GADJAH MADA YOGYAKARTA
2018
PUBLICATION/SUMMARY MANUSCRIPT OUTER COVER
JUDUL PROPOSAL SKRIPSI/TESIS/DISERTASI (14pt)
(SUBJUDUL SKRIPSI/TESIS/DISERTASI) (12pt)
Proposal Skripsi/Tesis/Disertasi
Program Studi Sarjana/Magister/Doktor Teknik Geologi
diajukan oleh
Bunga Melati (Nama Mahasiswa) 18/123456/PTK/12345 (Nomor Mahasiswa)
kepada
PROGRAM STUDI SARJANA/MAGISTER/DOKTOR TEKNIK GEOLOGI DEPARTEMEN TEKNIK GEOLOGI
FAKULTAS TEKNIK UNIVERSITAS GADJAH MADA
YOGYAKARTA Januari, 2018
COVER DALAM PROPOSAL
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
Bunga Melati (Name of Student) 18/123456/PTK/12345 (Academic Number)
to
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
PROPOSAL INNER COVER
JUDUL SKRIPSI/TESIS/DISERTASI (14pt)
(SUBJUDUL SKRIPSI/TESIS/DISERTASI) (12pt)
Skripsi/Tesis/Disertasi
untuk memenuhi sebagian persyaratan mencapai derajat Sarjana/Master/Doktor
Program Studi Sarjana/Magister/Doktor Teknik Geologi
diajukan oleh
Bunga Melati (nama mahasiswa) 18/123456/PTK/12345 (nomor mahasiswa)
kepada
PROGRAM STUDI SARJANA/MAGISTER/DOKTOR TEKNIK GEOLOGI DEPARTEMEN TEKNIK GEOLOGI
FAKULTAS TEKNIK UNIVERSITAS GADJAH MADA
YOGYAKARTA 2018
COVER DALAM SKRIPSI/TESIS/DISERTASI
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
Bunga Melati (name of student) 18/123456/PTK/12345 (academic number)
to
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
2018
UNDERGRADUATE THESIS/MASTER THESIS/DISSERTATION INNER COVER
JUDUL PROPOSAL DISERTASI/DISERTASI (14pt)
(SUBJUDUL PROPOSAL DISERTASI/DISERTASI) (12pt)
Proposal Disertasi/Disertasi untuk memperoleh derajat Doktor Program Studi Doktor Teknik Geologi
Fakultas Teknik Universitas Gadjah Mada
diajukan oleh
Bunga Melati (nama mahasiswa) 18/123456/PTK/12345 (nomor mahasiswa)
lahir di ……….
COVER DALAM PROPOSAL DISERTASI/DISERTASI #1 Cover ini dipergunakan sebelum ujian
proposal/ujian tertutup
DISSERTATION PROPOSAL/DISSERTATION TITLE (14pt)
(DISSERTATION PROPOSAL/DISSERTATION SUBTITLE)* (12pt)
Dissertation Proposal/Dissertation to obtain the Doctoral Degree Doctor in Geological Engineering Program
Faculty of Engineering Universitas Gadjah Mada
submitted by
Bunga Melati (nama mahasiswa) 18/123456/PTK/12345 (nomor mahasiswa)
born in ……….
DISSERTATION PROPOSAL/DISSERTATION INNER COVER #1 This cover is used before proposal examination/closed
examination
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
Bunga Melati (nama mahasiswa) 18/123456/PTK/12345 (nomor mahasiswa)
lahir di ……….
COVER DALAM PROPOSAL DISERTASI/DISERTASI #2 Cover ini dipergunakan setelah ujian proposal/ujian
tertutup
DISSERTATION PROPOSAL/DISSERTATION TITLE (14pt)
(DISSERTATION PROPOSAL/DISSERTATION SUBTITLE)* (12pt)
Dissertation Proposal/Dissertation to obtain the Doctoral Degree Doctor in Geological Engineering Program
Faculty of Engineering Universitas Gadjah Mada
was defended in front of the Board of Examiners in Doctor in Geological Engineering Program
Faculty of Engineering Universitas Gadjah Mada on the date ……. (date of exam)
submitted by
Bunga Melati (nama mahasiswa) 18/123456/PTK/12345 (nomor mahasiswa)
born in ……….
DISSERTATION PROPOSAL/DISSERTATION INNER COVER #2 This cover is used after proposal examination/closed
examination
DISSERTATION PROPOSAL/DISSERTATION TITLE (14pt)
(DISSERTATION PROPOSAL/DISSERTATION SUBTITLE)* (12pt)
Dissertation Proposal/Dissertation to obtain the Doctoral Degree Doctor in Geological Engineering Program
Faculty of Engineering Universitas Gadjah Mada
was defended in front of the Board of Examiners in Doctor in Geological Engineering Program
Faculty of Engineering Universitas Gadjah Mada on the date ……. (date of exam)
submitted by
Bunga Melati (name of Student) 18/123456/PTK/12345 (academic number)
born in ……….
DISSERTATION PROPOSAL/DISSERTATION INNER COVER #2 This cover is used after proposal examination/closed
examination
PROPOSAL SKRIPSI/TESIS
JUDUL PROPOSAL SKRIPSI/TESIS
(SUBJUDUL PROPOSAL SKRIPSI/TESIS)
diajukan oleh
Bunga Melati (Nama mahasiswa) 18/123456/PTK/12345 (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
PROPOSAL SKRIPSI/TESIS
JUDUL PROPOSAL SKRIPSI/TESIS
(SUBJUDUL PROPOSAL SKRIPSI/TESIS)
diajukan oleh
Bunga Melati (Nama mahasiswa) 18/123456/PTK/12345 (Nomor Mahasiswa)
disetujui oleh:
Calon Pembimbing Utama,
Nama Dosen NIP Dosen
Lembar Pengesahan ini dipakai sebelum/untuk mengajukan ujian proposal
UNDERGRADUATE THESIS/MASTER THESISPROPOSAL
UNDERGRADUATE THESIS/ MASTER THESIS PROPOSAL TITLE
(UNDERGRADUATE THESIS/MASTER THESIS PROPOSAL SUBTITLE)
Submitted by
Bunga Melati (Nama mahasiswa) 18/123456/PTK/12345 (Nomor Mahasiswa)
Approved by
Candidate of Supervisor, Candidate of Co-Supervisor,
Name Name
NIP NIP
This attestation form is used before/for applying proposal examination
UNDERGRADUATE THESIS/MASTER THESISPROPOSAL
UNDERGRADUATE THESIS/MASTER THESIS PROPOSAL TITLE
(UNDERGRADUATE THESIS/MASTER THESIS PROPOSAL SUBTITLE)
Submitted by
Bunga Melati (Nama mahasiswa) 18/123456/PTK/12345 (Nomor Mahasiswa)
Approved by Candidate of Supervisor,
Name NIP
This attestation form is used before/for applying proposal examination
PROPOSAL DISERTASI/DISERTASI
JUDUL PROPOSAL DISERTASI/DISERTASI
diajukan oleh
Bunga Melati (Nama mahasiswa) 18/123456/PTK/12345 (Nomor Mahasiswa)
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
DISSERTATION PROPOSAL/DISSERTATION
DISSERTATION PROPOSAL/DISSERTATION TITLE
submitted by
Bunga Melati (name of student) 18/123456/PTK/12345 (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
PROPOSAL SKRIPSI/TESIS
JUDUL PROPOSAL SKRIPSI/TESIS
(SUBJUDUL PROPOSAL SKRIPSI/TESIS)
yang dipersiapkan dan disusun oleh Bunga Melati (Nama mahasiswa) 18/123456/PTK/12345 (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,
Nama Dosen Nama Dosen
NIP Dosen NIP Dosen
Calon Pembimbing Pendamping, Anggota Penguji,
Nama Dosen Nama Dosen
NIP Dosen NIP Dosen
Yogyakarta, ……… 20 …
Ketua Program Studi Sarjana/Magister Teknik Geologi,
Nama ………
NIP ………
Lembar pengesahan ini dipakai setelah ujian proposal/revisi akhir
PROPOSAL SKRIPSI/TESIS
JUDUL PROPOSAL SKRIPSI/TESIS
(SUBJUDUL PROPOSAL SKRIPSI/TESIS)
yang dipersiapkan dan disusun oleh Bunga Melati (Nama mahasiswa) 18/123456/PTK/12345 (Nomor Mahasiswa) telah dipresentasikan di depan Dewan Penguji
pada tanggal ....
dan dinyatakan diterima dan diperbaiki sesuai hasil ujian proposal
Susunan Tim Penguji
Calon Pembimbing, Ketua Penguji,
Nama Dosen Nama Dosen
NIP Dosen NIP Dosen
Anggota Penguji,
Nama Dosen NIP Dosen
Yogyakarta, ……… 20 …
Ketua Program Studi Sarjana/Magister Teknik Geologi,
Nama ………
NIP ………
Lembar pengesahan ini dipakai setelah ujian proposal/revisi akhir
UNDERGRADUATE THESIS/MASTER THESIS PROPOSAL
UNDERGRADUATE THESIS/MASTER THESIS PROPOSAL TITLE
prepared by
Bunga Melati (name of student) 18/123456/PTK/12345 (academic number)
presented to the Board of Examiners on ………….. (date of exam)
and accepted and revised according to the proposal exam
Board of Examiners Candidate of Supervisor, Chairman,
Name Name
NIP NIP
Candidate 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
UNDERGRADUATE THESIS/MASTER THESIS PROPOSAL
UNDERGRADUATE THESIS/MASTER THESIS PROPOSAL TITLE
prepared by
Bunga Melati (name of student) 18/123456/PTK/12345 (academic number)
presented to the Board of Examiners on ………….. (date of exam)
and accepted and revised according to the proposal exam
Board of Examiners Candidate of Supervisor, Chairman,
Name Name
NIP NIP
Examiner,
Name 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
SKRIPSI/TESIS
JUDUL SKRIPSI/TESIS
(SUBJUDUL SKRIPSI/TESIS)
diajukan oleh
Bunga Melati (Nama mahasiswa) 18/123456/PTK/12345 (Nomor Mahasiswa)
disetujui oleh
Pembimbing Utama, Pembimbing Pendamping,
Nama Dosen Nama Dosen
NIP Dosen NIP Dosen
Yogyakarta, ……… 20 …
Ketua Program Studi Sarjana/Magister Teknik Geologi,
Nama ………
NIP ………
Lembar pengesahan ini dipakai setelah ujian kolokium/untuk mengajukan ujian skripsi/tesis
SKRIPSI/TESIS
JUDUL SKRIPSI/TESIS
(SUBJUDUL SKRIPSI/TESIS)
diajukan oleh
Bunga Melati (Nama mahasiswa) 18/123456/PTK/12345 (Nomor Mahasiswa)
disetujui oleh Pembimbing Utama,
Nama Dosen NIP Dosen
Yogyakarta, ……… 20 …
Ketua Program Studi Sarjana/Magister Teknik Geologi,
Nama ………
NIP ………
Lembar pengesahan ini dipakai setelah ujian kolokium/untuk mengajukan ujian skripsi/tesis
UNDERGRADUATE THESIS/MASTER THESIS
UNDERGRADUATE THESIS/ MASTER THESIS TITLE
(UNDERGRADUATE THESIS/MASTER THESIS SUBTITLE)
Submitted by
Bunga Melati (Nama mahasiswa) 18/123456/PTK/12345 (Nomor Mahasiswa)
Approved by
Supervisor, Co-Supervisor,
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 colloquium examination/for applying undergraduate
thesis/thesis examination
UNDERGRADUATE THESIS/MASTER THESIS
UNDERGRADUATE THESIS/MASTER THESIS TITLE
(UNDERGRADUATE THESIS/MASTER THESIS SUBTITLE)
Submitted by
Bunga Melati (Nama mahasiswa) 18/123456/PTK/12345 (Nomor Mahasiswa)
Approved by Supervisor,
Name NIP
Yogyakarta, ……… 20 ……..
Program Manager of Bachelor in Geological Engineering/Master in Geological Engineering,
Name ………
NIP ………
This attestation form is used after colloquium examination/for applying undergraduate
thesis/thesis examination
PROPOSAL DISERTASI/DISERTASI
JUDUL PROPOSAL DISERTASI/DISERTASI
diajukan oleh
Bunga Melati (Nama mahasiswa) 18/123456/PTK/12345 (Nomor Mahasiswa)
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
DISSERTATION PROPOSAL/DISSERTATION
DISSERTATION PROPOSAL/DISSERTATION TITLE
submitted by
Bunga Melati (name of student) 18/123456/PTK/12345 (academic number)
was revised according to The Board of Examiners suggestion of Proposal Examination/Closed Examination
approved by:
Name date ……….
Supervisor
Name date ……….
Co-Supervisor I
Name
Co-Supervisor II date ……….
Name date ……….
Examiner
Name
Examiner date ……….
Name
Examiner date ……….
This attestation form is used after proposal examination/closed examination
SKRIPSI/TESIS
JUDUL SKRIPSI/TESIS
yang dipersiapkan dan disusun oleh Bunga Melati (Nama mahasiswa) 18/123456/PTK/12345 (Nomor Mahasiswa) telah dipertahankan di depan Dewan Penguji
pada tanggal ....
dan dinyatakan lulus Susunan Tim Penguji
Pembimbing Utama, Ketua Penguji,
Nama Dosen Nama Dosen
NIP Dosen NIP Dosen
Pembimbing Pendamping, Anggota Penguji,
Nama Dosen Nama Dosen
NIP Dosen NIP Dosen
Skripsi/Tesis ini telah diterima sebagai salah satu syarat untuk mendapatkan gelar Sarjana/Master Program Studi Sarjana/Magister Teknik Geologi
Fakultas Teknik, Universitas Gadjah Mada Yogyakarta, ……… 20 …
Ketua Program Studi Sarjana/Magister Teknik Geologi,
Nama ………
NIP ………
Mengetahui,
Ketua Departemen Teknik Geologi,
Nama ………
NIP ………
Lembar pengesahan ini dipakai setelah ujian pendadaran skripsi/tesis (setelah
revisi final)
SKRIPSI/TESIS
JUDUL SKRIPSI/TESIS
yang dipersiapkan dan disusun oleh Bunga Melati (Nama mahasiswa) 18/123456/PTK/12345 (Nomor Mahasiswa) telah dipertahankan di depan Dewan Penguji
pada tanggal ....
dan dinyatakan lulus
Susunan Tim Penguji
Pembimbing, Ketua Penguji,
Nama Dosen Nama Dosen
NIP Dosen NIP Dosen
Anggota Penguji,
Nama Dosen NIP Dosen
Skripsi/Tesis ini telah diterima sebagai salah satu syarat untuk mendapatkan gelar Sarjana/Master Program Studi Sarjana/Magister Teknik Geologi
Fakultas Teknik, Universitas Gadjah Mada
Yogyakarta, ……… 20 …
Ketua Program Studi Sarjana/Magister Teknik Geologi,
Nama ………
NIP ………
Mengetahui,
Ketua Departemen Teknik Geologi,
Nama ………
NIP ………
Lembar pengesahan ini dipakai setelah ujian pendadaran skripsi/tesis (setelah
revisi final)
UNDERGRADUATE THESIS/MASTER THESIS
UNDERGRADUATE THESIS/MASTER THESIS TITLE
Prepared by
Bunga Melati (name of student) 18/123456/PTK/12345 (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 Master in Geological Engineering Program Faculty of Engineering, Universitas Gadjah Mada
Yogyakarta, ……… 20 … Program Manager, Name ………
NIP ………
Acknowledged
Head of Geological Engineering Departement,
Name ………
NIP ………
This attestation form is used after final examination (after final revision)
UNDERGRADUATE THESIS/MASTER THESIS
UNDERGRADUATE THESIS/MASTER THESIS TITLE
Prepared by
Bunga Melati (name of student) 18/123456/PTK/12345 (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 Master in Geological Engineering Program Faculty of Engineering, Universitas Gadjah Mada
Yogyakarta, ……… 20 … Program Manager, Name ………
NIP ………
Acknowledged
Head of Geological Engineering Departement,
Name ………
NIP ………
This attestation form is used after final examination (after final revision)
DISERTASI
JUDUL DISERTASI
diajukan oleh
Bunga Melati (Nama mahasiswa) 18/123456/PTK/12345 (Nomor Mahasiswa)
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
terbuka/wisuda (terpisah dari disertasi)
DISSERTATION
DISSERTATION TITLE
submitted by
Bunga Melati (name of student) 18/123456/PTK/12345 (academic number)
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
ceremony (separated from dissertation)
NASKAH PUBLIKASI/RINGKASAN
JUDUL PUBLIKASI/RINGKASAN
oleh
Bunga Melati (Nama mahasiswa) 18/123456/PTK/12345 (Nomor Mahasiswa)
disetujui oleh
Pembimbing Utama, Pembimbing Pendamping,
Nama Dosen Nama Dosen
NIP Dosen NIP Dosen
Mengetahui,
Ketua Program Studi Magister Teknik Geologi,
Nama ………
NIP ………
Lembar pengesahan Naskah Publikasi/Ringkasan
PUBLICATION/SUMMARY MANUSCRIPT
PUBLICATION/SUMMARY TITLE
by
Bunga Melati (Nama mahasiswa) 18/123456/PTK/12345 (Nomor Mahasiswa)
Approved by
Supervisor, Co-Supervisor,
Name Name
NIP NIP
Acknowledged,
Program Manager of Master in Geological Engineering,
Name ………
NIP ………
publication/summary attestation form
PERNYATAAN
Dengan ini saya menyatakan bahwa dalam Tugas Akhir/Skripsi/Tesis/Disertasi ini tidak terdapat karya yang pernah diajukan untuk memperoleh gelar Ahli Madya/Sarjana/Magister/Doktor di suatu Perguruan Tinggi, dan sepanjang pengetahuan saya juga tidak terdapat karya atau pendapat yang pernah ditulis atau diterbitkan oleh orang lain, kecuali yang secara tertulis diacu dalam naskah ini dan disebutkan dalam daftar pustaka.
Yogyakarta, …..
Nama Mahasiswa NIM
Mengetahui,
Pembimbing Utama, Pembimbing Pendamping,
Nama Dosen Nama Dosen
NIP Dosen NIP Dosen
Lembar Pernyataan
STATEMENT
I here by declare that this dissertation has never been submitted to obtain a degree at any other university, and to my knowledge does not contain the work or opinion ever written or published by others, except the writing which is clearly referred to in this manuscript and mentioned in the bibliography.
Yogyakarta,
Name of Student Academic Number
Acknowledged,
Supervisor, Co-Supervisor,
Name Name
NIP NIP
Statement Form