2018-08-17 Contoh Dokumen Pengesahan Tugas Akhir

COVER LUAR PROPOSAL
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
PROPOSAL OUTER
COVER
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
YOGYAKARTA
January, 2018
*if any
COVER LUAR
SKRIPSI/TESIS/DISERTASI
JUDUL SKRIPSI/TESIS/DISERTASI (14pt)

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

FAKULTAS TEKNIK
YOGYAKARTA
2018
UNDERGRADUATE THESIS/MASTER
THESIS/DISSERTATION OUTER COVER

TITLE (14pt)
(UNDERGRADUATE THESIS/MASTER THESIS/DISSERTATION SUBTITLE)
(12pt)
by

ENGINEERING PROGRAM
YOGYAKARTA
2018
COVER LUAR
NASKAH PUBLIKASI/RINGKASAN
JUDUL NASKAH PUBLIKASI/RINGKASAN
oleh
PROGRAM STUDI MAGISTER/DOKTOR TEKNIK GEOLOGI

FAKULTAS TEKNIK
YOGYAKARTA
2018
PUBLICATION/SUMMARY
MANUSCRIPT OUTER COVER
PUBLICATION/SUMMARY TITLE
PUBLICATION/SUMMARY
by
MASTER IN GEOLOGICAL ENGINEERING PROGRAM/DOCTOR IN GEOLOGICAL

ENGINEERING PROGRAM
YOGYAKARTA
2018
COVER DALAM
PROPOSAL
JUDUL PROPOSAL SKRIPSI/TESIS/DISERTASI (14pt)

Proposal Skripsi/Tesis/Disertasi
Program Studi Sarjana/Magister/Doktor Teknik Geologi
diajukan oleh
kepada
FAKULTAS TEKNIK
YOGYAKARTA
Januari, 2018
PROPOSAL INNER
COVER

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
YOGYAKARTA
January, 2018
COVER DALAM
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
Bunga Melati (nama mahasiswa)
18/123456/PTK/12345 (nomor mahasiswa)
kepada
FAKULTAS TEKNIK
YOGYAKARTA
2018
UNDERGRADUATE THESIS/MASTER
THESIS/DISSERTATION INNER COVER

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
ENGINEERING PROGRAM
YOGYAKARTA
2018
COVER DALAM PROPOSAL DISERTASI/DISERTASI #1
Cover ini dipergunakan sebelum ujian proposal/ujian
tertutup
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
lahir
di ……………….
DISSERTATION PROPOSAL/DISSERTATION INNER COVER #1
This cover is used before 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
submitted by
born
in ……………….
COVER DALAM PROPOSAL DISERTASI/DISERTASI #2
Cover ini dipergunakan setelah ujian proposal/ujian
tertutup
JUDUL PROPOSAL DISERTASI/DISERTASI (14pt)

(SUBJUDUL PROPOSAL DISERTASI/DISERTASI) (12pt)
Proposal Disertasi/Disertasi
untuk memperoleh derajat Doktor
Dipertahankan di hadapan Dewan Penguji

Fakultas Teknik
Pada Tanggal ……..
diajukan oleh
lahir
di ……………….
This cover is used after proposal examination/closed
examination

was defended in front of the Board of Examiners

in Doctor in Geological Engineering Program
on the date ……. (date of exam)
submitted by
born
in ……………….
This cover is used after proposal examination/closed
examination


in Doctor in Geological Engineering Program
submitted by
Bunga Melati (name of Student)
born
in ……………….
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)
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

diajukan oleh
disetujui oleh:
Calon Pembimbing Utama,
Nama Dosen
NIP Dosen
This attestation form is used before/for
applying proposal examination
UNDERGRADUATE THESIS/MASTER THESIS PROPOSAL
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
UNDERGRADUATE THESIS/MASTER THESIS PROPOSAL TITLE

(UNDERGRADUATE THESIS/MASTER THESIS PROPOSAL SUBTITLE)
Submitted by
Approved by
Candidate of Supervisor,
Name
NIP
Halaman persetujuan ini dipergunakan
sebelum ujian proposal/ujian tertutup
PROPOSAL DISERTASI/DISERTASI
JUDUL PROPOSAL DISERTASI/DISERTASI
diajukan oleh
yang diajukan untuk ujian proposal/ujian tertutup
disetujui oleh:
Nama tanggal ………………….

Promotor

Ko-Promotor I
Nama
Ko-Promotor II tanggal ………………….
This attestation form is used before proposal
examination/closed examination
DISSERTATION PROPOSAL/DISSERTATION
DISSERTATION PROPOSAL/DISSERTATION TITLE
submitted by
was submitted for proposal examination/closed examination
approved by:
Name date ………………….

Supervisor
Nama date ………………….

Co- Supervisor I
Nama
Co- Supervisor II date ………………….
Lembar pengesahan ini dipakai setelah ujian
proposal/revisi akhir

yang dipersiapkan dan disusun oleh

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 ……………
proposal/revisi akhir


telah dipresentasikan di depan Dewan Penguji
pada tanggal ....
dan dinyatakan diterima dan diperbaiki sesuai hasil ujian proposal
Susunan Tim Penguji
Calon Pembimbing, Ketua Penguji,

NIP Dosen NIP Dosen
Anggota Penguji,
Nama Dosen
NIP Dosen
NIP ……………
This attestation form is used after proposal
examination/final revision
prepared by
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 ……………
examination/final revision
prepared by
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 ……..

NIP ……………
kolokium/untuk mengajukan ujian skripsi/tesis
SKRIPSI/TESIS
JUDUL SKRIPSI/TESIS
(SUBJUDUL SKRIPSI/TESIS)
diajukan oleh
disetujui oleh
Pembimbing Utama, Pembimbing Pendamping,

NIP Dosen NIP Dosen
NIP ……………
kolokium/untuk mengajukan ujian skripsi/tesis
SKRIPSI/TESIS
JUDUL SKRIPSI/TESIS
(SUBJUDUL SKRIPSI/TESIS)
diajukan oleh
disetujui oleh
Pembimbing Utama,
Nama Dosen
NIP Dosen
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
Approved by
Supervisor, Co-Supervisor,
Name Name
NIP NIP
Yogyakarta, ………………… 20 ……..

NIP ……………
This attestation form is used after colloquium
examination/for applying undergraduate
thesis/thesis examination
UNDERGRADUATE THESIS/MASTER THESIS TITLE

(UNDERGRADUATE THESIS/MASTER THESIS SUBTITLE)
Submitted by
Approved by
Supervisor,
Name
NIP
Yogyakarta, ………………… 20 ……..

NIP ……………
Halaman persetujuan ini dipergunakan
setelah ujian proposal/ujian tertutup
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:

Promotor

Ko-Promotor I
Nama

Penguji
Nama
Penguji tanggal ………………….
Nama
examination/closed examination
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:

Supervisor

Co-Supervisor I
Name
Co-Supervisor II date ………………….

Examiner
Name
Examiner date ………………….
Name
pendadaran skripsi/tesis (setelah revisi final)
SKRIPSI/TESIS
JUDUL SKRIPSI/TESIS

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
Program Studi Sarjana/Magister Teknik Geologi
Fakultas Teknik, Universitas Gadjah Mada
NIP ……………
Mengetahui,
Ketua Departemen Teknik Geologi,
NIP ……………
pendadaran skripsi/tesis (setelah revisi final)
SKRIPSI/TESIS
JUDUL SKRIPSI/TESIS

telah dipertahankan di depan Dewan Penguji
pada tanggal ....
dan dinyatakan lulus
Susunan Tim Penguji
Pembimbing, Ketua Penguji,

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
NIP ……………
Mengetahui,
Ketua Departemen Teknik Geologi,
NIP ……………
This attestation form is used after final
examination (after final revision)

Prepared by
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
Program Manager,
NIP ……………
Acknowledged
Head of Geological Engineering Departement,
NIP ……………
This attestation form is used after final
examination (after final revision)

Prepared by
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
Program Manager,
NIP ……………
Acknowledged
Head of Geological Engineering Departement,
NIP ……………
Halaman persetujuan ini dipergunakan sebagai
lampiran/kelengkapan syarat yudisium/ujian
terbuka/wisuda (terpisah dari disertasi)
DISERTASI
JUDUL DISERTASI
diajukan oleh
yang telah diperbaiki sesuai saran dari Tim Penguji Ujian Tertutup
disetujui oleh:

Ketua Tim Penguji

Promotor

Ko-Promotor I
Nama

Penguji
Nama
Nama
This attestation form is used as attachment file/part of list of
judisium requirement/open examination/graduation
ceremony (separated from dissertation)
DISSERTATION
DISSERTATION TITLE
submitted by
was revised according to The Board of Examiners suggestion of Closed Examination
approved by:

Chairman

Supervisor

Co-Supervisor I
Name
Co-Suoervisor II date ………………….

Examiner
Name
Name
Lembar pengesahan Naskah
Publikasi/Ringkasan
JUDUL PUBLIKASI/RINGKASAN
oleh
disetujui oleh

NIP Dosen NIP Dosen
Mengetahui,
Ketua Program Studi Magister Teknik Geologi,
NIP ……………
publication/summary
attestation form
PUBLICATION/SUMMARY MANUSCRIPT
PUBLICATION/SUMMARY TITLE
by
Approved by
Name Name
NIP NIP
Acknowledged,
Program Manager of Master in Geological Engineering,
NIP ……………
Lembar Pernyataan
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,

NIP Dosen NIP Dosen
Statement Form
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,
Name Name
NIP NIP

2018-08-17 Contoh Dokumen Pengesahan Tugas Akhir

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2018-08-17 Contoh Dokumen Pengesahan Tugas Akhir

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COVER LUAR PROPOSAL

JUDUL PROPOSAL SKRIPSI/TESIS/DISERTASI (14pt)

PROGRAM STUDI SARJANA/MAGISTER/DOKTOR TEKNIK GEOLOGI

UNDERGRADUATE THESIS/MASTER THESIS/DISSERTATION

PROPOSAL UNDERGRADUATE/MASTER THESIS/DISSERTATION

BACHELOR IN GEOLOGICAL ENGINEERING PROGRAM/MASTER IN

JUDUL SKRIPSI/TESIS/DISERTASI (14pt)

PROGRAM STUDI SARJANA/MAGISTER/DOKTOR TEKNIK GEOLOGI

UNDERGRADUATE THESIS/MASTER THESIS/DISSERTATION

UNDERGRADUATE THESIS/MASTER THESIS/DISSERTATION

BACHELOR IN GEOLOGICAL ENGINEERING PROGRAM/MASTER IN

JUDUL NASKAH PUBLIKASI/RINGKASAN

PROGRAM STUDI MAGISTER/DOKTOR TEKNIK GEOLOGI

MASTER IN GEOLOGICAL ENGINEERING PROGRAM/DOCTOR IN GEOLOGICAL

JUDUL PROPOSAL SKRIPSI/TESIS/DISERTASI (14pt)

UNDERGRADUATE THESIS/MASTER THESIS/DISSERTATION

Undergraduate Thesis/Master Thesis/Dissertation Proposal

JUDUL SKRIPSI/TESIS/DISERTASI (14pt)

UNDERGRADUATE THESIS/MASTER THESIS/DISSERTATION

Undergraduate Thesis/Master Thesis/Dissertation

JUDUL PROPOSAL DISERTASI/DISERTASI (14pt)

DISSERTATION PROPOSAL/DISSERTATION TITLE (14pt)

JUDUL PROPOSAL DISERTASI/DISERTASI (14pt)

Dipertahankan di hadapan Dewan Penguji

DISSERTATION PROPOSAL/DISSERTATION TITLE (14pt)

was defended in front of the Board of Examiners

DISSERTATION PROPOSAL/DISSERTATION TITLE (14pt)

was defended in front of the Board of Examiners

JUDUL PROPOSAL SKRIPSI/TESIS

Calon Pembimbing Utama, Calon Pembimbing Pendamping,

Nama Dosen Nama Dosen

JUDUL PROPOSAL SKRIPSI/TESIS

Calon Pembimbing Utama,

UNDERGRADUATE THESIS/MASTER THESIS PROPOSAL

UNDERGRADUATE THESIS/ MASTER THESIS PROPOSAL TITLE

Candidate of Supervisor, Candidate of Co-Supervisor,

UNDERGRADUATE THESIS/MASTER THESIS PROPOSAL

UNDERGRADUATE THESIS/MASTER THESIS PROPOSAL TITLE

JUDUL PROPOSAL DISERTASI/DISERTASI

yang diajukan untuk ujian proposal/ujian tertutup

Nama tanggal ………………….

Nama tanggal ………………….

DISSERTATION PROPOSAL/DISSERTATION TITLE

was submitted for proposal examination/closed examination

Name date ………………….

Nama date ………………….

JUDUL PROPOSAL SKRIPSI/TESIS

yang dipersiapkan dan disusun oleh

Susunan Tim Penguji

Calon Pembimbing Utama, Ketua Penguji,

Nama Dosen Nama Dosen

Calon Pembimbing Pendamping, Anggota Penguji,

Nama Dosen Nama Dosen

JUDUL PROPOSAL SKRIPSI/TESIS

yang dipersiapkan dan disusun oleh

Susunan Tim Penguji

Calon Pembimbing, Ketua Penguji,

Nama Dosen Nama Dosen

UNDERGRADUATE THESIS/MASTER THESIS PROPOSAL

UNDERGRADUATE THESIS/MASTER THESIS PROPOSAL TITLE

Candidate of Supervisor, Chairman,

Candidate Co-Supervisor, Examiner,

Yogyakarta, ………………… 20 ……..

UNDERGRADUATE THESIS/MASTER THESIS PROPOSAL