UNIVERSITAS TANJUNGPURA
(Surat Keputusan Presiden RI Nomor 171, tanggal 15 Agustus 1967) SURAT KETERANGAN PENDAMPING IJAZAH
SUPPLEMENT TO THE CERTIFICATE
1. INFORMASI TENTANG IDENTITAS DIRI PEMEGANG SKPI 1. Information Identifying The Holder of Diploma Supplement
NAMA LENGKAP Full Name
TAHUN LULUS Year of Competion
____________________________________ ____________________________________
TEMPAT DAN TANGGAL LAHIR Date and Place of Birth
NOMOR IJAZAH Certificate number ____________________________________ (Tidak diisi)
NOMOR INDUK MAHASISWA Student Identification Number
GELAR
Name of Qualification
____________________________________ ____________________________________
2. INFORMASI TENTANG IDENTITAS PENYELENGGARAAN PROGRAM 2. Information identifying the Jawarding Institution
SK PENDIRIAN PERGURUAN TINGGI Awarding Institution Lecture
PERSYARATAN PENERIMAAN Entry Requirements
Surat Keputusan Presiden RI Nomor 171, tanggal 15 Agustus 1967
Lulus Pendidikan Menengah/Sederajat dan Lulus Seleksi Mahasiswa Baru
Graduate from High School or similar level of education and Passed the Student Admission Selection
NAMA PERGURUAN TINGGI Awarding Institution
BAHASA PENGANTAR KULIAH Language of Instruction
Universitas Tanjungpura Tanjungpura University
Indonesia Indonesian PROGRAM STUDI
Major
SISTEM PENILAIAN Grading System
_____________________________________ Skala 1-4; A = 4, B = 3, C = 2, D = 1 Scale 1-4; A = 1, B = 3, C = 2. D = 1 JENIS DAN JENJANG PENDIDIKAN
Type and Level of Education
LAMA STUDI Length of Study Sarjana (Strata 1)
Bachelor Degree
______ Semester
JENJANG KUALIFIKASI SESUAI KKNI Level of Qualification the National
Qualification Framework
JENIS DAN JENJANG PENDIDIKAN LANJUTAN
Acces to Further Study
Level 6 Program Magister dan Doktoral
Master & Doctoral Program
3. INFORMASI TENTANG KUALIFIKASI DAN HASIL YANG DICAPAI 3. Information Identifying the Qualification and Outcames Obtained
A. CAPAIAN PEMBELAJARAN A. LEARNING OUTCOMES 1. _________________________________
_________________________________
_________________________________
2. _________________________________
_________________________________
_________________________________
3. Dst
B. AKTIVITAS PRESTASI DAN PENGHARGAAN
1. _________________________________
_________________________________
_________________________________
2. _________________________________
_________________________________
_________________________________
3. Dst
1. _________________________________
_________________________________
_________________________________
2. _________________________________
_________________________________
_________________________________
3. Dst
B. AKTIVITAS PRESTASI DAN PENGHARGAAN
1. _________________________________
_________________________________
_________________________________
2. _________________________________
_________________________________
_________________________________
3. Dst
Dikeluarkan di / Issued in : Pontianak
Tanggal / Date :
Dekan FKIP Untan Dean of FKIP Untan
Dr. H. Martono
NIP. 196803161994031014
Catatan: Mohon diisi pada bagian data yang ditandai garis ( ____ )
