BUKU KENDALI PEMBIMBINGAN SKRIPSI PROGRAM...

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Jl. Raya Siman Km. 5 Siman, Ponorogo Jawa Timur Telp/Fax : 0352 48762, 0352 488182 Website : unida.gontor.ac.id Email : [email protected] Fountain of Wisdom BUKU KENDALI PEMBIMBINGAN SKRIPSI PROGRAM SARJANA Nama : .................................................................... NIM : .................................................................... Fakultas/Prodi : ....................................................................

Transcript of BUKU KENDALI PEMBIMBINGAN SKRIPSI PROGRAM...

Jl. Raya Siman Km. 5 Siman, Ponorogo Jawa Timur Telp/Fax : 0352 48762, 0352 488182

Web site : unida.gontor.ac.id Email : [email protected]

Fountain of Wisdom

BUKU KENDALI PEMBIMBINGAN SKRIPSI

PROGRAM SARJANA

Nama : ....................................................................

NIM : ....................................................................

Fakultas/Prodi : ....................................................................

Buku Kendali Pembimbingan Skripsi| i

KATA PENGANTAR

Pembimbingan mahasiswa merupakan salah satu komponen proses

pembelajaran yang ada di Universitas Darussalam Gontor. Buku Pembimbingan

Mahasiswa ini merupakan salah satu upaya untuk mengarahkan dan membimbing

mahasiswa dalam menyususn rencana penelitian pada skripsi. Buku Pembimbingan

Mahasiswa ini dibuat sebagai salah satu monitoring dalam proses penyelesaiaan skripsi

sehingga akan menjamin terselenggaranya proses pembimbingan yang berkualitas.

Buku Pembimbingan Mahasiswa ini diberikan kepada Mahasiswa Program

Sarjana sejak memperoleh SK Dosen Pembimbing dan selalu dibawa dan dipergunakan

pada saat konsultasi dan interaksi dengan dosen pembimbing. Buku ini dikembalikan

pada saat mengajukan ujian skripsi.

Semoga Buku Pembimbingan ini dapat bermanfaat bagi mahasiswa, dosen, dan

pengelola pendidikan sarjana prodi. Atas kesediaan para dosen pembimbing mengisis

Buku Pembimbingan Mahasiswa ini, disampaikan terima kasih.

Ponorogo, Mei 2017

Tim Penyusun

Buku Kendali Pembimbingan Skripsi| ii

DAFTAR ISI

Kata Pengantar ................................................................................................... ii

Daftar Isi ............................................................................................................. iii

Data Mahasiswa ................................................................................................. iv

Catatan Konsultasi ............................................................................................. 1

Konsultasi Penentuan Judul .......................................................................... 2

Konsultasi Penyusunan Proposal Skripsi ....................................................... 5

Konsultasi Persiapan Seminar Proposal Skripsi ............................................. 11

Konsultasi Pelaksanaan Penelitian Skripsi .................................................... 14

Konsultasi Persiapan Ujian Skripsi ................................................................ 25

Contoh Formulir ................................................................................................. 32

Formulir Rekomendasi dari BAAK .................................................................. 33

Formulir Pengajuan Judul Skripsi .................................................................. 34

Formulir Kesediaan Dosen Pembimbing Skripsi ........................................... 35

Formulir Penunjukan Pembimbing Skripsi .................................................... 36

Formulir Contoh SK Pembimbing Skripsi ...................................................... 37

Formulir Permohonan Izin Penelitian ........................................................... 39

Formulir Lembar Penilaian Seminar Proposal Skripsi ................................... 40

Formulir Berita Acara Ujian Skripsi ............................................................... 41

Formulir Lembar Revisi Skripsi ...................................................................... 42

Buku Kendali Pembimbingan Skripsi| iii

DATA MAHASISWA

Nama Lengkap : ...................................................................

Nama Panggilan : ..................................................................

NIM : ..................................................................

Program Studi : .................................................................

Fakultas : ....................................................................................

Alamat Asal : ....................................................................................

Telepon : ....................................................................................

No HP : ....................................................................................

Pembimbing : ....................................................................................

: ....................................................................................

Judul Penelitian : ....................................................................................

....................................................................................

....................................................................................

....................................................................................

....................................................................................

....................................................................................

pas foto 3 x 4

CATATAN KONSULTASI

Buku Kendali Pembimbingan Skripsi| 2

Jenis Kegiatan : Konsultasi Penentuan Judul Skripsi

Tanggal Konsultasi : ___________________________________________________

Tempat/Lokasi : ___________________________________________________

Uraian Ringkas Hasil Konsultasi

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

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______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

Tindak Lanjut oleh Mahasiswa

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

Ponorogo, ______________________

Dosen Pembimbing,

_______________________________

Buku Kendali Pembimbingan Skripsi| 3

Jenis Kegiatan : Konsultasi Penentuan Judul Skripsi

Tanggal Konsultasi : ___________________________________________________

Tempat/Lokasi : ___________________________________________________

Uraian Ringkas Hasil Konsultasi

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

Tindak Lanjut oleh Mahasiswa

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

Ponorogo, ______________________

Dosen Pembimbing,

_______________________________

Buku Kendali Pembimbingan Skripsi| 4

Jenis Kegiatan : Konsultasi Penentuan Judul Skripsi

Tanggal Konsultasi : ___________________________________________________

Tempat/Lokasi : ___________________________________________________

Uraian Ringkas Hasil Konsultasi

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

Tindak Lanjut oleh Mahasiswa

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

Ponorogo, ______________________

Dosen Pembimbing,

_______________________________

Buku Kendali Pembimbingan Skripsi| 5

Jenis Kegiatan : Konsultasi Penyusunan Proposal Skripsi

Tanggal Konsultasi : ___________________________________________________

Tempat/Lokasi : ___________________________________________________

Uraian Ringkas Hasil Konsultasi

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

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______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

Tindak Lanjut oleh Mahasiswa

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

Ponorogo, ______________________

Dosen Pembimbing,

_______________________________

Buku Kendali Pembimbingan Skripsi| 6

Jenis Kegiatan : Konsultasi Penyusunan Proposal Skripsi

Tanggal Konsultasi : ___________________________________________________

Tempat/Lokasi : ___________________________________________________

Uraian Ringkas Hasil Konsultasi

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

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______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

Tindak Lanjut oleh Mahasiswa

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

Ponorogo, ______________________

Dosen Pembimbing,

_______________________________

Buku Kendali Pembimbingan Skripsi| 7

Jenis Kegiatan : Konsultasi Penyusunan Proposal Skripsi

Tanggal Konsultasi : ___________________________________________________

Tempat/Lokasi : ___________________________________________________

Uraian Ringkas Hasil Konsultasi

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

Tindak Lanjut oleh Mahasiswa

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

Ponorogo, ______________________

Dosen Pembimbing,

_______________________________

Buku Kendali Pembimbingan Skripsi| 8

Jenis Kegiatan : Konsultasi Penyusunan Proposal Skripsi

Tanggal Konsultasi : ___________________________________________________

Tempat/Lokasi : ___________________________________________________

Uraian Ringkas Hasil Konsultasi

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

Tindak Lanjut oleh Mahasiswa

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

Ponorogo, ______________________

Dosen Pembimbing,

_______________________________

Buku Kendali Pembimbingan Skripsi| 9

Jenis Kegiatan : Konsultasi Penyusunan Proposal Skripsi

Tanggal Konsultasi : ___________________________________________________

Tempat/Lokasi : ___________________________________________________

Uraian Ringkas Hasil Konsultasi

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

Tindak Lanjut oleh Mahasiswa

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

Ponorogo, ______________________

Dosen Pembimbing,

_______________________________

Buku Kendali Pembimbingan Skripsi| 10

Jenis Kegiatan : Konsultasi Persiapan Seminar Proposal Skripsi

Tanggal Konsultasi : ___________________________________________________

Tempat/Lokasi : ___________________________________________________

Uraian Ringkas Hasil Konsultasi

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

Tindak Lanjut oleh Mahasiswa

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

Ponorogo, ______________________

Dosen Pembimbing,

_______________________________

Buku Kendali Pembimbingan Skripsi| 11

Jenis Kegiatan : Konsultasi Persiapan Seminar Proposal Skripsi

Tanggal Konsultasi : ___________________________________________________

Tempat/Lokasi : ___________________________________________________

Uraian Ringkas Hasil Konsultasi

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

Tindak Lanjut oleh Mahasiswa

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

Ponorogo, ______________________

Dosen Pembimbing,

_______________________________

Buku Kendali Pembimbingan Skripsi| 12

Jenis Kegiatan : Konsultasi Persiapan Seminar Proposal Skripsi

Tanggal Konsultasi : ___________________________________________________

Tempat/Lokasi : ___________________________________________________

Uraian Ringkas Hasil Konsultasi

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

Tindak Lanjut oleh Mahasiswa

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

Ponorogo, ______________________

Dosen Pembimbing,

_______________________________

Buku Kendali Pembimbingan Skripsi| 13

Jenis Kegiatan : Konsultasi Persiapan Seminar Proposal Skripsi

Tanggal Konsultasi : ___________________________________________________

Tempat/Lokasi : ___________________________________________________

Uraian Ringkas Hasil Konsultasi

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

Tindak Lanjut oleh Mahasiswa

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

Ponorogo, ______________________

Dosen Pembimbing,

_______________________________

Buku Kendali Pembimbingan Skripsi| 14

Jenis Kegiatan : Konsultasi Pelaksanaan Penelitian Skripsi

Tanggal Konsultasi : ___________________________________________________

Tempat/Lokasi : ___________________________________________________

Uraian Ringkas Hasil Konsultasi

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

Tindak Lanjut oleh Mahasiswa

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

Ponorogo, ______________________

Dosen Pembimbing,

_______________________________

Buku Kendali Pembimbingan Skripsi| 15

Jenis Kegiatan : Konsultasi Pelaksanaan Penelitian Skripsi

Tanggal Konsultasi : ___________________________________________________

Tempat/Lokasi : ___________________________________________________

Uraian Ringkas Hasil Konsultasi

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

Tindak Lanjut oleh Mahasiswa

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

Ponorogo, ______________________

Dosen Pembimbing,

_______________________________

Buku Kendali Pembimbingan Skripsi| 16

Jenis Kegiatan : Konsultasi Pelaksanaan Penelitian Skripsi

Tanggal Konsultasi : ___________________________________________________

Tempat/Lokasi : ___________________________________________________

Uraian Ringkas Hasil Konsultasi

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

Tindak Lanjut oleh Mahasiswa

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

Ponorogo, ______________________

Dosen Pembimbing,

_______________________________

Buku Kendali Pembimbingan Skripsi| 17

Jenis Kegiatan : Konsultasi Pelaksanaan Penelitian Skripsi

Tanggal Konsultasi : ___________________________________________________

Tempat/Lokasi : ___________________________________________________

Uraian Ringkas Hasil Konsultasi

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

Tindak Lanjut oleh Mahasiswa

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

Ponorogo, ______________________

Dosen Pembimbing,

_______________________________

Buku Kendali Pembimbingan Skripsi| 18

Jenis Kegiatan : Konsultasi Pelaksanaan Penelitian Skripsi

Tanggal Konsultasi : ___________________________________________________

Tempat/Lokasi : ___________________________________________________

Uraian Ringkas Hasil Konsultasi

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

Tindak Lanjut oleh Mahasiswa

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

Ponorogo, ______________________

Dosen Pembimbing,

_______________________________

Buku Kendali Pembimbingan Skripsi| 19

Jenis Kegiatan : Konsultasi Pelaksanaan Penelitian Skripsi

Tanggal Konsultasi : ___________________________________________________

Tempat/Lokasi : ___________________________________________________

Uraian Ringkas Hasil Konsultasi

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

Tindak Lanjut oleh Mahasiswa

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

Ponorogo, ______________________

Dosen Pembimbing,

_______________________________

Buku Kendali Pembimbingan Skripsi| 20

Jenis Kegiatan : Konsultasi Pelaksanaan Penelitian Skripsi

Tanggal Konsultasi : ___________________________________________________

Tempat/Lokasi : ___________________________________________________

Uraian Ringkas Hasil Konsultasi

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

Tindak Lanjut oleh Mahasiswa

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

Ponorogo, ______________________

Dosen Pembimbing,

_______________________________

Buku Kendali Pembimbingan Skripsi| 21

Jenis Kegiatan : Konsultasi Pelaksanaan Penelitian Skripsi

Tanggal Konsultasi : ___________________________________________________

Tempat/Lokasi : ___________________________________________________

Uraian Ringkas Hasil Konsultasi

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

Tindak Lanjut oleh Mahasiswa

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

Ponorogo, ______________________

Dosen Pembimbing,

_______________________________

Buku Kendali Pembimbingan Skripsi| 22

Jenis Kegiatan : Konsultasi Pelaksanaan Penelitian Skripsi

Tanggal Konsultasi : ___________________________________________________

Tempat/Lokasi : ___________________________________________________

Uraian Ringkas Hasil Konsultasi

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

Tindak Lanjut oleh Mahasiswa

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

Ponorogo, ______________________

Dosen Pembimbing,

_______________________________

Buku Kendali Pembimbingan Skripsi| 23

Jenis Kegiatan : Konsultasi Pelaksanaan Penelitian Skripsi

Tanggal Konsultasi : ___________________________________________________

Tempat/Lokasi : ___________________________________________________

Uraian Ringkas Hasil Konsultasi

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

Tindak Lanjut oleh Mahasiswa

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

Ponorogo, ______________________

Dosen Pembimbing,

_______________________________

Buku Kendali Pembimbingan Skripsi| 24

Jenis Kegiatan : Konsultasi Persiapan Ujian Skripsi

Tanggal Konsultasi : ___________________________________________________

Tempat/Lokasi : ___________________________________________________

Uraian Ringkas Hasil Konsultasi

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

Tindak Lanjut oleh Mahasiswa

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

Ponorogo, ______________________

Dosen Pembimbing,

_______________________________

Buku Kendali Pembimbingan Skripsi| 25

Jenis Kegiatan : Konsultasi Persiapan Ujian Skripsi

Tanggal Konsultasi : ___________________________________________________

Tempat/Lokasi : ___________________________________________________

Uraian Ringkas Hasil Konsultasi

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

Tindak Lanjut oleh Mahasiswa

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

Ponorogo, ______________________

Dosen Pembimbing,

_______________________________

Buku Kendali Pembimbingan Skripsi| 26

Jenis Kegiatan : Konsultasi Persiapan Ujian Skripsi

Tanggal Konsultasi : ___________________________________________________

Tempat/Lokasi : ___________________________________________________

Uraian Ringkas Hasil Konsultasi

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

Tindak Lanjut oleh Mahasiswa

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

Ponorogo, ______________________

Dosen Pembimbing,

_______________________________

Buku Kendali Pembimbingan Skripsi| 27

Jenis Kegiatan : ___________________________________________________

Tanggal Konsultasi : ___________________________________________________

Tempat/Lokasi : ___________________________________________________

Uraian Ringkas Hasil Konsultasi

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

Tindak Lanjut oleh Mahasiswa

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

Ponorogo, ______________________

Dosen Pembimbing,

_______________________________

Buku Kendali Pembimbingan Skripsi| 28

Jenis Kegiatan : ___________________________________________________

Tanggal Konsultasi : ___________________________________________________

Tempat/Lokasi : ___________________________________________________

Uraian Ringkas Hasil Konsultasi

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

Tindak Lanjut oleh Mahasiswa

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

Ponorogo, ______________________

Dosen Pembimbing,

_______________________________

Buku Kendali Pembimbingan Skripsi| 29

Jenis Kegiatan : ___________________________________________________

Tanggal Konsultasi : ___________________________________________________

Tempat/Lokasi : ___________________________________________________

Uraian Ringkas Hasil Konsultasi

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

Tindak Lanjut oleh Mahasiswa

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

Ponorogo, ______________________

Dosen Pembimbing,

_______________________________

Buku Kendali Pembimbingan Skripsi| 30

Jenis Kegiatan : ___________________________________________________

Tanggal Konsultasi : ___________________________________________________

Tempat/Lokasi : ___________________________________________________

Uraian Ringkas Hasil Konsultasi

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

Tindak Lanjut oleh Mahasiswa

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

Ponorogo, ______________________

Dosen Pembimbing,

_______________________________

Buku Kendali Pembimbingan Skripsi| 31

Jenis Kegiatan : ___________________________________________________

Tanggal Konsultasi : ___________________________________________________

Tempat/Lokasi : ___________________________________________________

Uraian Ringkas Hasil Konsultasi

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

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______________________________________________________________________

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Tindak Lanjut oleh Mahasiswa

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Ponorogo, ______________________

Dosen Pembimbing,

Contoh Formulir

Buku Kendali Pimbingan Skripsi| 33

Formulir 1. Rekomendasi dari BAAK تزكية من مكتب شؤون الطلبة واألكاديمية

تزكية رسالة

في تقديم مقترح البحث العلمي

دار السالم كونتور أن: ةيشهد مكتب شؤون الطلبة واألكاديمية جامع

: الطالب

: رقم القيد

: محل االقامة األصلي

: مة الحاليمحل االقا

: القسم

: الكلية

ساعة 021 : عدد الساعة المعتمدة الموصولة

: ..................... بالتفاصيل اآلتي: المهملةالمعتمدة عدد الساعة

: الفصل الدراسي األول

: الفصل الدراسي الثاني

: عومجم

: موضوع البحث

همه األمر.لتقديمه إلى من يإذ يشهد المكتب بذلك

فونوروكو، .....................

مدير المكتب،

ريان رمضان جايوسمان الماجستير

KOP BIRO ADMINISTRASI AKADEMIK KEMAHASISWAAN

UNIVERSITAS DARUSSALAM GONTOR

Buku Kendali Pimbingan Skripsi| 34

RECOMMENDATION

SUBMISSION OF THESIS TITLE

Bureau of Academic and Student Affairs hereby declares that:

Name : _______________________________________

Student ID Number : _______________________________________

Home address : _______________________________________

Current address : _______________________________________

_______________________________________

Department : _______________________________________

Faculty : _______________________________________

Pased semester credits : 120

Failed semester credits : … the details are as follows:

Odd semester : …

Even semester : …

Total : …

Proposed Thesis Title : _______________________________________

_______________________________________

_______________________________________

Hereby this recommendation is made truthfully and to be used accordingly

Approved by,

Head of Bureau of Academic and Student Affairs

Royyan Ramdhani Djayusman, M.A.

BUREAU OF ACADEMIC AND STUDENT AFFAIRS

UNIVERSITAS DARUSSALAM GONTOR

Buku Kendali Pimbingan Skripsi| 35

REKOMENDASI

PENGAJUAN JUDUL SKRIPSI

Bersama ini, Biro Administrasi Akademik Kemahasiswaan Universitas Darussalam

Gontor menerangkan bahwa:

Nama : _______________________________________

Nomor Induk Mahasiswa : _______________________________________

NIM : _______________________________________

Alamat asal : _______________________________________

Alamat Sekarang : _______________________________________

_______________________________________

Program Studi : _______________________________________

Fakultas : _______________________________________

Jumlah sks yang telah lulus : 120 sks

Jumlah sks yang belum lulus : sks, dengan rincian sbb

Semester Ganjil : sks

Semester Genap : sks

Jumlah : sks

Rencana judul skripsi : _______________________________________

_______________________________________

_______________________________________

Demikian rekomendasi ini dibuat agar dapat dipergunakan sebagaimana mestinya.

Ponorogo, _____________________

Ketua BAAK

Royyan Ramdhani Djayusman, M.A.

KOP BIRO ADMINISTRASI AKADEMIK KEMAHASISWAAN

UNIVERSITAS DARUSSALAM GONTOR

Buku Kendali Pimbingan Skripsi| 36

Formulir 2. Pengajuan Judul Skripsi

بيانات تقديم مقترح البحث

أدناه: / أنا الموقعة أنا الموقع

: االسم

: القيد دفتر رقم

: قسمال

: كليةال

: البريد االلكتروني

: الهاتف

كونتور: بجامعة دار السالم إتمام الدراسةشروط أقدم موضوع البحث العلمي استفاء لبعض

____________________________________________________________

____________________________________________________________

____________________________________________________________

____________________________________________________________

____________________________________________

فونوروكو، ......،.......،......

الطالب

_______________

رقم دفتر القيد:

الموافقة

مدير مركز أسلمة المعرفة االقتصاد االسالمي رئيس قسم

جامعة دار السالم كونتور

خالد مصلح االستاذ الدكتور االستاذ ريان رمضاني جايوسمان

KOP PROGRAM STUDI

Buku Kendali Pimbingan Skripsi| 37

Form for Submission of Thesis Title

I the undersigned,

Name : ...............................................................................................

Student ID Number ...............................................................................................

Department :...............................................................................................

Faculty :...............................................................................................

Email :...............................................................................................

Phone : ...............................................................................................

I hereby submit my thesis title as follows:

……………………………………………………………………………………………

……………………………………………………………………………………………

……………………………………………………………………………………………

……………………………………………………………………………………………

Ponorogo , ………………………

Student Signature,

____________________

NIM...........................

Approved by,

Head of Department

____________________

NIY......................

Known by,

Team of Islamization of Science

____________________

NIY...................

LETTERHEAD OF DEPARTMENT

Buku Kendali Pimbingan Skripsi| 38

FORMULIR PENGAJUAN JUDUL SKRIPSI

Yang bertanda tangan di bawah ini,

Nama : ...............................................................................................

NIM : ...............................................................................................

Program Studi : ...............................................................................................

Fakultas : ...............................................................................................

Email : ...............................................................................................

No. HP : ...............................................................................................

Dengan ini mengajukan Skripsi dengan Judul sebagai berikut:

……………………………………………………………………………………………

……………………………………………………………………………………………

……………………………………………………………………………………………

……………………………………………………………………………………………

Ponorogo , ………………………

Pemohon,

____________________

NIM..........................

Menyetujui,

Ketua Program Studi

____________________

NIY......................

Mengetahui,

Tim Islamisasi Ilmu Pengetahuan

____________________

NIY...................

KOP PROGRAM STUDI

Buku Kendali Pimbingan Skripsi| 39

Formulir 3. Kesediaan Dosen Pembimbing Skripsi

موافقة المشرفإقرار بيانات

:/ أنا الموقعة أذناه أنا الموقع أدناه

: االسم

: رقم التوظيف

: محل االقامة

: رقم الهاتف

: لبريد االلكترونيا

في االشراف على الرسالة األخيرة التي )غير مستعدة( / غير مستعد )مستعدة( مستعدأقر بأني

سيكتبها الطالب / ستكتبها الطالبة:

: االسم

: رقم دفتر القيد

: القسم

: الكلية

: موضوع الرسالة

.هذا، وتفضل بقبول فائق االحترام ولكم مني جزيل الشكر

كونتور، .......،.......حريرا بت

،/ المشرفة المشرف

/ ألف ليلية الماجستير الدكتور فاجار فرامونو الماجستير

KOP PROGRAM STUDI

Buku Kendali Pimbingan Skripsi| 40

STATEMENT OF WILLINGNESS

I the undersigned,

Name : …………………………………………………………………

NIY : …………………………………………………………………

Address : …………………………………………………………………

Phone : …………………………………………………………………

Email : …………………………………………………………………

is willing to be the thesis consultant for the student named below:

Name : …………………………………………………………………

Student ID Number : …………………………………………………………………

Department : …………………………………………………………………

Faculty : ………………………………………………………………..

Proposed Thesis Title : …………………………………………………………………

…………………………………………………………………

…………………………………………………………………

Hereby this statement is made truthfully and to be used accordingly.

……………….., …………20.....

Signature,

…………………………………

LETTERHEAD OF DEPARTMENT

Buku Kendali Pimbingan Skripsi| 41

LEMBAR PERNYATAAN KESEDIAAN

DOSEN PEMBIMBING SKRIPSI

Yang bertanda tangan di bawah ini :

Nama Dosen : …………………………………………………………………

NIY : …………………………………………………………………

Alamat : …………………………………………………………………

No HP : …………………………………………………………………

Email : …………………………………………………………………

Menyatakan bersedia / tidak bersedia *) menjadi Pembimbing Skripsi atas nama

mahasiswa yang tersebut di bawah ini :

Nama : …………………………………………………………………

NIM : …………………………………………………………………

Program Studi : …………………………………………………………………

Fakultas : ………………………………………………………………..

Judul : …………………………………………………………………

…………………………………………………………………

…………………………………………………………………

Demikian surat pernyataan saya buat agar dapat dipergunakan sebagaimana mestinya.

……………….., …………20.....

Yang menyatakan,

…………………………………

KOP PROGRAM STUDI

Buku Kendali Pimbingan Skripsi| 42

Formulir 4. Penunjukan Pembimbing Skripsi

: الرقيم

: المرفقات

: االلتماس االشراف على الرسالة األخيرة الشأن

السيد الفاضل: الدكتور محمد فاجار فرامونو الماجستير

بجامعة دار السالم كوتور

السالم عليكم ورحمة هللا وبركاته

،تحية طيبة وبعد

م كونتور بالتماسكم لالشراف فيتشرف رئيس قسم تعليم اللغة العربية بكلية التربية جامعة دار السال

على الرسالة األخيرة للطالب / للطالبة:

: االسم

: رقم دفتر القيد

: الكلية

: موضوع الرسالة

هذا وتفضلوا بقبول فائق االحترام ولكم مني جزيل الشكر.

والسالم عليكم ورحمة هللا وبركاته

فونوروكو، ...........،...........

اللغة العربيةرئيس قسم تعليم

ألف تجيا سيتيادي الماجستير

KOP PROGRAM STUDI

Buku Kendali Pimbingan Skripsi| 43

No :

Annexes : 2 Ex

Subject : Request To:

Bismillahirrahmanirrohiim.

Assalamu’alaikumWr.Wb.

Regarding the Appointment of thesis consultant approval form, We–International

Relations Department, Faculty of Humanity, Universitas Darussalam Gontor would like to

request the willingness of Mr / Ms……. to guide the development of the thesis proposal,

supervise the research, and provide feedback on the written thesis by the student named

below:

Student ID Number : …………………………………………………………………

Department : …………………………………………………………………

Faculty : ………………………………………………………………..

Proposed Thesis Title :. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

We look forward to a positive confirmation, an honor for us indeed. Thank you for your

consideration.

Wassalamu’alaikumWr.Wb.

Head of ………..Department

(………………………………)

LETTERHEAD OF DEPARTMENT

Buku Kendali Pimbingan Skripsi| 44

No :

Lamp :

Hal : Permohonan Kesediaan Membimbing Skripsi Kepada Yth. _______________ di – Tempat

Bismillahirrahmanirrohiim.

Assalamu’alaikum Wr.Wb.

Ketua Program Studi …………………………., Fakultas …………………………….,

Universitas Darussalam Gontor, mengharap kesediaan Bapak/Ibu untuk menjadi

Pembimbing Skripsi bagi Mahasiswa :

Nama : . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

NIM : . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Program Studi : . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Fakultas : . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Judul Skripsi : . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Demikian surat ini disampaikan, semoga dapat menjadikan maklum adanya, dan

atas kesediaannya disampaikan terima kasih.

Wassalamu’alaikum Wr.Wb.

Ponorogo, ……………………….

Ketua Program Studi

………………..

(………………………………)

KOP PROGRAM STUDI

Buku Kendali Pimbingan Skripsi| 45

Formulir 5. Contoh SK Dosen Pembimbing

DECREE

Dean of Faculty of...................................

UNIVERSITAS DARUSSALAM GONTOR

No : ……………………..

The Determination of Thesis Consultant

Odd/Even Semester

Academic Year …..

Considering : a. That in order to fulfill the requirement to achieve a bachelor degree for the

students of Faculty ……….of University of Darussalam Gontor ........... is

needed coaching

b. That for the smoothness in carrying out consultation and examination

mentioned in letter a above, it is necessary to appoint the consultant team

c. That for the reason in item b, it is necessary to stipulate by Dean’s decision of

Faculty ............ Universitas Darussalam Gontor

Recalling : 1. Law of the Republic of Indonesia Number 20 Year 2003 on National

Education System

2. Law of the Republic of Indonesia Number 12 Year 2012 on Higher Education

3. Minister's Decision No.232/U/2000 Minister of Higher Education Guidelines

for Curriculum Development and Assessment of Student Learning Outcomes

4. Decree of Minister of Education and Culture Number 197 / E / O/2014

regarding the Permission of Establishment of Darussalam University Gontor

Ponorogo.

5. Statuta of Universitas Darussalam Gontor Ponorogo

6. Decree of Rector of UNIDA Gontor Number ....... Year ......... on Guidelines

for Thesis Preparation / Final Student's Task) Universitas Darussalam Gontor

Establishing Assigning :

First : Appoint and assign to his / her name in the appendix of this decision as thesis

consultant team of Faculty .................... Universitas Darussalam Gontor .......

academic year …

.

Second : Assign the team as the first dictum to guide thesis in …..semester, academic

year .............. organized by Faculty of........... Universitas Darussalam Gontor .

Third : This decree shall come into force since it was set. If there is a mistake in its

determination, it will be fixed as it should

Ponorogo.

Dean of Faculty of

……,

NIY Cc

1. Vice Dean for Academic Affairs

2. Head of Department

3. Consultants

4. Concerned

KOP FAKULTAS

Buku Kendali Pimbingan Skripsi| 46

Appendix

The Dean of Faculty of ........................ Universitas Darussalam Gontor

No : ..............................

THESIS CONSULTANTS

FACULTY OF……

UNIVERSITAS DARUSSALAM GONTOR

No Consultants Position Student’s Name Thesis Title

1 Dr. Muh. Fajar Pramono, M.Si.

NIY. 960121

Consultant I Muslim

NIM. 362015621054

2 Muhammad Nur Kholis,

M.Si.

NIY. 150491

Consultant II

Approved by,

The Dean of Faculty of………

NIY

Buku Kendali Pimbingan Skripsi| 47

K E P U T U S A N

DEKAN FAKULTAS …………………………….

UNIVERSITAS DARUSSALAM GONTOR

Nomor : ……………………..

Tentang

PENETAPAN DOSEN PEMBIMBING SKRIPSI/TUGAS AKHIR

SEMESTER GASAL/GENAP

TAHUN AKADEMIK ……/……….

Menimbang : a. Bahwa untuk memenuhi persyaratan dalam meraih gelar kesarjanaan bagi

mahasiswa Fakultas ........... Universitas Darussalam Gontor perlu

dilaksanakan pembimbingan

b. Bahwa untuk kelancaran dalam melaksanakan pembimbingan dan ujian

skripsi tersebut pada huruf a diatas, perlu diangkat Tim Pembimbing

c. Bahwa utnuk maksud tersebut butir b diatas, perlu ditetapkan dengan

Keputusan Dekan Fakultas ............ Universitas Darussalam Gontor

Mengingat : 1. Undang-undang Republik Indonesia Nomor 20 Tahun 2003 tentang Sistem

Pendidikan Nasional

2. Undang-undang Republik Indonesia Nomor 12 Tahun 2012 tentang

Pendidikan Tinggi

3. Keputusan Menteri Pendidikan Nasional Republik Indonesia Nomor

232/U/2000 tentang Pedoman Peyusunan Kurikulum Pendidikan Tinggi dan

Penilaian Hasil Belajar Mahasiswa.

4. Keputusan Menteri Pendidikan dan Kebudayaan Republik Indonesia Nomor

197/E/O/2014 tentang izin Pendirian Universitas Darussalam Gontor

Ponorogo.

5. Statuta Universitas Darussalam Gontor Ponorogo

6. SK. Rektor UNIDA Gontor No. ................ tentang Pedoman

penyusunan Skripsi/Tugas Akhir Mahasiswa) Universitas Darussalam

Gontor

MEMUTUSKAN

Menetapkan :

Pertama : Menunjuk dan menugaskan kepada namanya tersebut dlam lampiran keputusan

ini sebagai Tim Pembimbing Skripsi Mahasiswa pada Fakultas....................

Universitas Darussalam Gontor semester ....... tahun akademik..............

Kedua : Menugaskan Tim tersebut diktum pertama untuk membimbing skripsi pada

semester ....... tahun akademik.............. yang diselenggarakan oleh Fakultas

........... Universitas Darussalam Gontor

Ketiga : Keputusan ini berlaku sejak ditetapkan dengan ketentuan apabila dikemudian

hari ternyata terdapat kekeliruan dalam penetapan ini akan diperbaiki

sebagaimana mestinya.

Ditetapkan : di Ponorogo

Pada tanggal :

Dekan,

NIY Tembusan

1. Pembantu Dekan Bidang Akademik

2. Ketua Program Studi

3. Dosen Pembimbing

4. Yang bersangkutan

KOP FAKULTAS

Buku Kendali Pimbingan Skripsi| 48

Dekan Fakultas ........................ Universitas Darussalam Gontor

Nomor : ..............................

DAFTAR NAMA TIM PEMBIMBING SKRIPSI

FAKULTAS ............................. UNIVERSITAS DARUSSALAM GONTOR

SEMESTER ................. TAHUN AJARAN

No Nama Dosen Jabatan Nama Mahasiswa Judul Skripsi

1 Dr. Muh. Fajar Pramono, M.Si.

NIY. 960121

Pembimbing I Muslim

NIM. 362015621054

2 Muhammad Nur Kholis, M.Si.

NIY. 150491

Pembimbing II

Ditetapkan : di Ponorogo

Pada tanggal :

Dekan,

NIY

Buku Kendali Pimbingan Skripsi| 49

Formulir 6. Permohonan Izin Penelitian

1.

No :

Annexes :

Subject : Request

To.

Kepala Balai Penelitian Aneka Kacang dan Umbi (BALITKABI) Malang

Assalamu’alaikum wr wb

In order to support educational programs and lectures in University Darussalam

Gontor, every single student is required to conduct research that must be fulfilled as

one of the requirements in completing his/her study.

Regarding that matter, we may please be allowed to do research in

BALITKABI. The students carrying out the research are as follows

Name : Ihsan Ramadhan

Student ID Number : 352014630906

Department : Agro-Technology

Faculty : Science and Technology

Time : July to November 2017

Research :Growth and Yield of Soybean Cultivars under

Biofertilizer Application

We hope you will be able to accept our request and thank you very much for your

consideration.

Wassalamu’alaikum wr wb

Head of .......

_____________________

NIY. ............................

Cc:

1. Dean of Faculty of Science and Technology, UNIDA Gontor

2. Supervisor

LETTERHEAD OF DEPARTMENT

Buku Kendali Pimbingan Skripsi| 50

2.

Nomor : Ponorogo, 7 Mei 2017

Lampiran :

Hal : Permohonan Izin Penelitian

Kepada Yth.

Kepala Balai Penelitian Aneka Kacang dan Umbi (BALITKABI) di Malang

Assalamu’alaikum wr wb

Dengan Hormat,

Dalam rangka mendukung program pendidikan dan kegiatan perkuliahan di

Universitas Darussalam Gontor bahwa setiap mahasiswa dalam menyelesaikan studinya

diwajibkan melakukan penelitian untuk skripsi yang harus dipenuhi sebagai salah satu

syarat dalam menyelesaikan studinya.

Sehubungan dengan hal tersebut kami mohon kiranya dapat diperkenankan

untuk melakukan penelitian di BALITKABI. Adapun mahasiswa yang akan

melaksanakan penelitian sebagai berikut:

Nama : Ihsan Ramadhan

NIM : 352014630906

Program Studi : Agroteknologi

Fakultas : Sains dan Teknologi

Waktu : Juli s.d November 2017

Judul Penelitian : Growth and Yield of Soybean Cultivars under Biofertilizer

Application

Demikian disampaikan atas perhatian dan kerja samanya kami ucapakan terima kasih.

Wassalamu’alaikum wr wb

Ketua Program Studi

.......................................................

_____________________

NIY. ............................ Tembusan : 1. Dekan Fakultas Sains dan Teknologi, UNIDA Gontor

2. Dosen Pembimbing

KOP PROGRAM STUDI

Buku Kendali Pimbingan Skripsi| 51

Formulir 6. Lembar Penilaian Seminar Proposal Skripsi

بيانات نتيجة تقديم مقترح البحث

: االسم

: رقم دفتر القيد

: موضوع مقترح البحث

: المشرف

النتيجة النسبة المئوية عناصر التقييم

01 جودة مقترح البحث

21 جودة تقديم المقترح

21 اللغة

21 المناقشة

011 مجموع

: التاريخ

: المشرف

: التوقيع

KOP PROGRAM STUDI

Buku Kendali Pimbingan Skripsi| 52

EVALUATION CRITERIA

Student ID Number : ........................................................................................

Name : ........................................................................................

Title of Thesis Proposal : ........................................................................................

........................................................................................

........................................................................................

Consultant : ........................................................................................

Assessment

Components

Percentage

Score

Proposal Quality 40

Presentation 20

Use of Language 20

Discussion 20

Total 100

Grade based on overall evaluation

Place and date :

Consultant :

Signature

:

LETTERHEAD OF DEPARTMENT

Buku Kendali Pimbingan Skripsi| 53

LEMBAR PENILAIAN SEMINAR PROPOSAL SKRIPSI

NIM : ........................................................................................

Nama Mahasiswa : ........................................................................................

Judul Proposal Skripsi : ........................................................................................

........................................................................................

........................................................................................

Dosen Pembimbing : ........................................................................................

Komonen Penilaian Persentase Nilai

Kulitas Proposal 40

Penyampainan 20

Bahasa 20

Diskusi 20

Total 100

Huruf

Tanggal Penilaian :

Nama Pembimbing :

Tanda Tangan

:

KOP PROGRAM STUDI

Buku Kendali Pimbingan Skripsi| 54

Formulir 7 Berita Acara Ujian Skripsi

متحان الرسالةإتقرير لجنة

: االسم

: رقم دفتر القيد

: القسم

: الكلية

لجنة امتحان الرسالة:

رئيس لجنة االمتحان

:.......................................................... لطفيا ديتيا الماجستير

سكريتر لجنة االمتحان

....................................................:....... نيكين تريسنانينعروم الماجستير

الممتحن األول

:........................................................... ألف ليلة الماجستير

الممتحن الثاني

:........................................................... حارس سيتيلنينعروم الماجستير

GROWTH AND YIELD OF SOYBEAN CULTIVARS UNDER : وضوع الراسلةم

BIOFERTILIZER APPLICATION

: اليوم / التاريخ

: الساعة

: ناجح / راسب بتقدير : النتيجة

............تحريرا بكونتور، .............،

رئيس لجنة امتحان الرسالة

لطفيا ديتيا الماجستير

KOP PROGRAM STUDI

Buku Kendali Pimbingan Skripsi| 55

LEGITIMATION OF THE BOARD OF EXAMINERS

Name : Ihsan Ramadhan

Student ID Number : 33.2014.223456

Department :

Faculty :

This thesis has been approved by the board of thesis examiners of ...... Department,

Faculty of ........., Universitas Darussalam Gontor, Ponorogo, on

Signature Board of Examiners

Chairperson

Lutfy Ditya C., S.P., M.P

Secretary

Niken Trisnaningrun, S.P., M.Si

Examineer

Alfu Laila, S.P., M.Sc

Examineer

Haris Setyaningrum, S.Si., M.Sc

Thesis :

GROWTH AND YIELD OF SOYBEAN CULTIVARS UNDER

BIOFERTILIZER APPLICATION

Date : June 12, 2015

Time : 11.00-12.30

The Final Grade : Pass/Not Pass Grade : ............................................

Chairperson,

Lutfy Ditya C., S.P., M.P

NIY. ...................................

LETTERHEAD OF DEPARTMENT

Buku Kendali Pimbingan Skripsi| 56

BERITA ACARA UJIAN SKRIPSI

Nama : Ihsan Ramadhan

No. Mahasiswa : 33.2014.223456

Program Studi :

Fakultas :

Dewan Penguji :

Tanda Tangan Dewan Penguji

Ketua

Lutfy Ditya C., S.P., M.P

Sekretaris

Niken Trisnaningrun, S.P., M.Si

Anggota 1

Alfu Laila, S.P., M.Sc

Anggota 2

Haris Setyaningrum, S.Si., M.Sc

Judul Skripsi :

GROWTH AND YIELD OF SOYBEAN CULTIVARS UNDER

BIOFERTILIZER APPLICATION

Hari,Tanggal ujian : Rabu, 12 Juni 2015

Waktu : 11.00-12.30 WIB

Dengan hasil (nilai huruf) : Tidak lulus/Lulus dengan nilai : ............................................

Ponorogo, 12 Juni 2015

Ketua Dewan Penguji

Lutfy Ditya C., S.P., M.P

NIY. ...................................

KOP PROGRAM STUDI

Buku Kendali Pimbingan Skripsi| 57

Formulir 8. Lembar Revisi Skripsi

بيانات اصالحات الرسالة

: االسم

: رقم دفتر القيد

: موضوع الرسالة

االصالح الباب / الصفحة الرقم

: آخر موعد تسليم

لجنة امتحان الرسالة:

رئيس لجنة االمتحان

..:........................................................ لطفيا ديتيا الماجستير

سكريتر لجنة االمتحان

:........................................................... نيكين تريسنانينعروم الماجستير

الممتحن األول

:........................................................... ألف ليلة الماجستير

الممتحن الثاني

:........................................................... حارس سيتيلنينعروم الماجستير

KOP PROGRAM STUDI

Buku Kendali Pimbingan Skripsi| 58

Student ID Number : ................................................................................

Name : ................................................................................

Thesis : ................................................................................

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................................................................................

No Chapter/Page Revision Concept

Last Revision Date:

Signature Board of Examiners

Chairperson

Lutfy Ditya C., S.P., M.P

Secretary

Niken Trisnaningrun, S.P., M.Si

Examineer

Alfu Laila, S.P., M.Sc

Examineer

Haris Setyaningrum, S.Si., M.Sc

LETTERHEAD OF DEPARTMENT

Buku Kendali Pimbingan Skripsi| 59

NIM : ................................................................................

Nama Mahasiswa : ................................................................................

Judul Skripsi : ................................................................................

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No BAB /HALAMAN KONSEP PERBAIKAN

Revisi terakhir tanggal :

Tanda Tangan Dewan Penguji

Ketua

Lutfy Ditya C., S.P., M.P

Sekretaris

Niken Trisnaningrun, S.P., M.Si

Anggota 1

Alfu Laila, S.P., M.Sc

Anggota 2

Haris Setyaningrum, S.Si., M.Sc

KOP PROGRAM STUDI