Magister Teknik Geologi - Universitas Gadjah Mada

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UNIVERSITAS GADJAH MADA FAKULTAS TEKNIK

Faculty of Engineering

Jl. Grafika No.2 Kampus UGM Yogyakarta 55281 Indonesia Tel.: +62-274 631179, 513665 Faks : +62-274 631179, 589659 E-mail: [email protected]

SURAT KETERANGAN Statement Letter

Nomor / Reg. Number : /H1.17/LN/2018

Dekan Fakultas Teknik Universitas Gadjah Mada menerangkan bahwa Transkrip Nilai atas nama mahasiswa berikut ini:

The Dean of Faculty of Engineering Universitas Gadjah Mada states that the following Academic Transcript of the following student:

Nama/Name : Suastiwi Triatmodjo

Nomor Registrasi/Registration Number : 04/1476/PS

Tempat dan Tanggal Lahir/Place and Date of Birth : Yogyakarta, 2 Agustus 1959

Derajat Kesarjanaan : Doktor

Program Studi/Study Program : Arsitektur

Tertulis di dalam transkrip tersebut / It was written on the transcript as follows:

Teknik Arsitektur / Architecture Engineering

Yang benar adalah / It is corrected as follows:

Arsitektur / Architecture

Yogyakarta, 2 Juli 2018 Dekan/Dean,

Prof. Ir. Nizam, M.Sc., Ph.D.

Dimintakan nomor ke

Fakultas

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UNIVERSITAS GADJAH MADA FAKULTAS TEKNIK

Faculty of Engineering

Jl. Grafika No.2 Kampus UGM Yogyakarta 55281 Indonesia Tel.: +62-274 631179, 513665 Fax : +62-274 631179, 589659 E-mail: [email protected]

SURAT KETERANGAN PENGGANTI TRANSKRIP AKADEMIK STATEMENT LETTER OF ACADEMIC TRANSCRIPT

Nomor / Number : /H1.17/PS/2018 Dekan Fakultas Teknik Universitas Gadjah Mada menerangkan bahwa:

The Dean of Faculty of Engineering Gadjah Mada University states that the following student:

Nama / Name : Nama Lengkap tanpa gelar

Nomor Induk Mahasiswa / Registration Number : xx/xxxxxx/xTK/xxxxx Tempat dan Tanggal Lahir / Place And Date of Birth : Xxxxxx, dd month yyyy

Program Studi / Study Program : S2 Teknik Xxxxxx / Master Programme of Xxxxxxxx Engineering

adalah pemilik transkrip akademik derajat magister yang dikeluarkan oleh Dekan Fakultas Teknik Universitas Gadjah Mada dengan

is the owner of an master degree academic transcript issued by the Dean of the Faculty of Engineering Universitas Gadjah Mada with the following information:

Tanggal Masuk / Starting Date : dd month yyyy

Tanggal Lulus / Graduation Date : dd month yyyy

Indeks Prestasi / Grade Point Average : 3.45 Grading System (A=4; B=3; C=2; D=1)

Predikat / Merit : Sangat Memuaskan / Very Satisfactory

Jumlah Satuan Kredit Semester / Number of Credits : 40

Tanggal Penerbitan / Issued Date : dd month yyyy

Transkrip akademik tersebut telah hilang berdasarkan Surat Tanda Bukti Laporan Kehilangan dari Kepolisian Negara Republik Indonesia

The academic transcript described above is unattainable or lost based on certificate of missing from The Indonesian Police Department

Daerah / Region : Xxxxxxxx

Nomor / Number : Xxxxxxxx

Tanggal / Date : dd month yyyy

Fakultas Teknik Universitas Gadjah Mada telah menerbitkan transkrip pengganti dan dilampirkan bersama surat ini.

Faculty of Engineering Universitas Gadjah Mada issues a substitute of the transcript and attached with this letter.

Yogyakarta, dd month yyyy Dekan / Dean

Prof. Ir. Panut Mulyono, M.Eng., D.Eng.

Format Pengganti Transkrip Nilai

karena Hilang

Dimintakan nomor ke

Fakultas

UNIVERSITAS GADJAH MADA

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Lampiran surat nomor: /H1.17/PS/2014

No. Kode Matakuliah (Course Code)

Mata Kuliah (Course Title)

SKS

(Semester Credit Unit)

Nilai (Grade)

1. xxx Indonesia (Inggris) A

2. ...

3. xxx Indonesia (Inggris)

4. …

6. …

… ...

Cara Penilaian (Grading Systems) : min (min) = 1 ; maks (max) = 4

A = 4 = Istimewa (Excellent) B = 3 = Baik (Good) C = 2 = Cukup (Fair) D = 1 = Kurang (Poor) Judul Tesis (Thesis Title):

Indonesia……….

(Inggris ……… )

Pembimbing Utama (Supervisor) : Prof. xxx, Ph.D.

Pembimbing Pendamping (Co-Supervisor) : Prof. Dr. xxx

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Format Surat Keterangan Transkrip Nilai untuk Keperluan ke Luar Negeri

TO WHOM IT MAY CONCERN

The Dean of the Faculty of Engineering Universitas Gadjah Mada certifies that the attached transcript of the following person:

Name : Xxx (dicetak tebal)

Student Registration Number : xx/xxxxxx/PTK/xxxxx Place and Date of Birth : Xxx, month dd, yyyy

Enrolled Date : month dd, yyyy

Graduated Date : month dd, yyyy

Degree : Master of Xxx

is a true and correct copy of the transcript.

Yogyakarta, month dd, yyyy Dean,

Prof. Ir. Panut Mulyono, M.Eng., D.Eng.

NIP. 196006011988031001