form-pengisian-skpi-terbaru-2015-06-27
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Universitas Pesantren Tinggi Darul ‘Ulum Jombang PP. Darul Ulum Tromol Pos 10 Peterongan Jombang Jawa Timur61481 Telp. (0321) 873655, 865473 Fax (0321) 876771 Email : [email protected] URL : www.unipdu.ac.id 1. INFORMASI TENTANG IDENTITAS DIRI PEMEGANG SKPI PERSONAL DETAILS OF THE BEARER OF THE CERTIFICATE SUPPLEMENT 1.1 Nama Lengkap / Full Name 1.5 Tanggal Lulus / Date of Leaving ..................................... /... .......................................... ..................................... / ....................................... 1.2 . Tempat dan Tanggal Lahir / Place and Date of Birth 1.6 . NomorSeri Ijazah / Certificate Registration Number ..................................... /... .......................................... ..................................... / ....................................... 1.3 . Nomor Induk Mahasiswa / Student’s Identification Number 1.7 . Gelar / Academic Degree ..................................... /... .......................................... ..................................... / ....................................... 1.4 . Tanggal Masuk / Date of Admission 1.8 . Singkatan / Academic Degree Abbreviation ..................................... /... .......................................... 2. INFORMASI TENTANG IDENTITAS PENYELENGGARA PROGRAM DETAILS OF THE INSTITUTION 2.1 SK Pendirian Perguruan Tinggi / Registration 2.7 Persyaratan Penerimaan / Admission Kep. Mendiknas RI No : 121/D/O/2001, Tanggal 2 Agustus 2011 Lulus SLTA dan dan lulus selesksi mahasiswa baru Graduated from High School and passing entrance 2.2 . Nama Perguruan Tinggi/ The University’s Name 2.8 Bahasa Pengantar Kuliah / Language of Instruction UNIVERSITAS PESANTREN TINGGI DARUL ULUM JOMBANG Bahasa Indonesia / Bahasa Indonesia 2.3 . Nama Program Studi / Department 2.9 Sistem Penilaian / Evaluation System ..................................... /... .......................................... A = 4; B = ..................................... 2.4 . Fakultas / Faculty 2.1 0 Lama Studi Reguler / Normative Duration of Study ..................................... /... .......................................... ................ Tahun / ................ Years 2.5 . Jenis & Jenjang Pendidikan / Type & Level of Education 2.1 1 Jenis dan Jenjang Pendidikan Lanjutan ..................................... /... .......................................... ..................................... / ....................................... 2.6 . Jenjang Kualifikasi Sesuai KKNI / Qualification Level Based on Indonesian National Qualifications Framework 2.1 2 Status Profesi (bila ada) / Professional Status (if applicable) Level ......... / Level .................... ..................................... / ....................................... 3. INFORMASI TENTANG CAPAIAN PEMBELAJARAN DAN KUALIFIKASI HASIL YANG DICAPAI INFORMATION ON LEARNING OUTCOMES AND QUALIFICATIONS 3.1 Capaian Pembelajaran / Learning Outcomes Kemampuan Bidang Kerja 1. Mampu ......... ........... 2. Mampu .................... 3. Mampu .................... Working Capability 1. Capable of ................................ 2. Capable of................................ Surat Keterangan Pendamping Ijazah Certificate Supplement No. : ................................................. Surat Keterangan Pendamping Ijazah ini sebagai pelengkap Ijazah yang menerangkan capaian pembelajaran dan prestasi dari pemegang Ijazah selama masa studi This Certificate Supplement serves as a complement to the certificate providing the learning outcome and achievement of the bearer of this certificate during the study Lampiran 1 – Format SKPI
description
surat pendamping ijazah
Transcript of form-pengisian-skpi-terbaru-2015-06-27
Universitas Pesantren Tinggi Darul Ulum JombangLampiran 1 Format SKPI
PP. Darul Ulum Tromol Pos 10 Peterongan Jombang Jawa Timur61481Telp. (0321) 873655, 865473 Fax (0321) 876771Email : [email protected] URL : www.unipdu.ac.id Surat Keterangan Pendamping IjazahCertificate SupplementNo. : .................................................Surat Keterangan Pendamping Ijazah ini sebagai pelengkap Ijazah yang menerangkan capaian pembelajaran dan prestasi dari pemegang Ijazah selama masa studi
This Certificate Supplement serves as a complement to the certificate providing the learning outcome and achievement of the bearer of this certificate during the study period
1. INFORMASI TENTANG IDENTITAS DIRI PEMEGANG SKPIPERSONAL DETAILS OF THE BEARER OF THE CERTIFICATE SUPPLEMENT
1.1.Nama Lengkap / Full Name 1.5.Tanggal Lulus / Date of Leaving
..................................... /............................................................... ..................................... /...............................................................
1.2.Tempat dan Tanggal Lahir / Place and Date of Birth1.6.NomorSeri Ijazah / Certificate Registration Number
..................................... /............................................................... ..................................... /...............................................................
1.3.Nomor Induk Mahasiswa / Students Identification Number 1.7.Gelar / Academic Degree
..................................... /............................................................... ..................................... /...............................................................
1.4.Tanggal Masuk / Date of Admission1.8.Singkatan / Academic Degree Abbreviation
..................................... /...............................................................
2. INFORMASI TENTANG IDENTITAS PENYELENGGARA PROGRAMDETAILS OF THE INSTITUTION
2.1.SK Pendirian Perguruan Tinggi / Registration Certificate of Estabilishment2.7Persyaratan Penerimaan / Admission Requirements
Kep. Mendiknas RI No : 121/D/O/2001, Tanggal 2 Agustus 2011
Lulus SLTA dan dan lulus selesksi mahasiswa baru Graduated from High School and passing entrance examination
2.2.Nama Perguruan Tinggi/ The Universitys Name2.8Bahasa Pengantar Kuliah / Language of Instruction
UNIVERSITAS PESANTREN TINGGI DARUL ULUM JOMBANG Bahasa Indonesia / Bahasa Indonesia
2.3.Nama Program Studi / Department2.9Sistem Penilaian / Evaluation System
..................................... /............................................................... A = 4; B = ......................................................................................
2.4.Fakultas / Faculty2.10Lama Studi Reguler / Normative Duration of Study
..................................... /............................................................... ................ Tahun / ................ Years
2.5.Jenis & Jenjang Pendidikan / Type & Level of Education2.11Jenis dan Jenjang Pendidikan Lanjutan/Access to Futher Study
..................................... /............................................................... ..................................... /...............................................................
2.6.Jenjang Kualifikasi Sesuai KKNI / Qualification Level Based on Indonesian National Qualifications Framework2.12Status Profesi (bila ada) / Professional Status (if applicable)
Level ......... / Level ......................................................... /...............................................................
3. INFORMASI TENTANG CAPAIAN PEMBELAJARAN DAN KUALIFIKASI HASIL YANG DICAPAI INFORMATION ON LEARNING OUTCOMES AND QUALIFICATIONS
3.1.Capaian Pembelajaran / Learning Outcomes
Kemampuan Bidang Kerja1. Mampu ......... ...........2. Mampu ....................3. Mampu ....................
Working Capability1. Capable of ................................2. Capable of................................3. Capable of................................
Penguasaan Pengetahuan 1. Menguasai ....................2. Menguasai ....................3. Menguasai ....................
Subject Area Knowledge1. Knowledge of.....................2. Knowledge of.....................3. Knowledge of.....................
Sikap Khusus 1. Mampu bertanggungjawab ....................2. Mampu bersaing ....................
Special Attitude1. Having sense of responsibility2. Able to compete............
3.2.Informasi Tambahan / Additional Information
3.2.1. Prestasi dan Penghargaan / Achievement and Awards
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3.2.2. Pengalaman Organisasi / Organizational Experiences
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3.2.3. Sertifikat Keahlian / Certificate of Expertise
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3.2.4. Kerja Praktek/Magang / Internship
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3.2.5. Tugas Akhir / Final Project
3.2.6. Bahasa Internasional / International Language(s)
Bahasa Inggris / EnglishSkor / Score:Tanggal / Date
Bahasa Jepang / JapaneseSkor / Score:Tanggal / Date
Bahasa Prancis / French Skor / Score:Tanggal / Date
Bahasa Arab / Arabic Skor / Score:Tanggal / Date
3.2.7. Pendidikan Karakter / Character Building
3.2.8. Penguasaan Al Quran dan Pemahaman Agama / Quran and Religious Knowledge
4. INFORMASI TENTANG SISTEM PENDIDIKAN TINGGI DI INDONESIA DAN KERANGKA KUALIFIKASI NASIONAL INDONESIAINFORMATION ON INDONESIAN HIGHER EDUCATION SYSTEM AND INDONESIAN NATIONAL QUALIFICATIONS FRAMEWORK
Sistem Pendidikan Tinggi Di Indonesia adalah .....................................................................................................................................................................................................................The Higher Education System in Indonesia is ................................................................................
Kerangka Kualifikasi Nasional Indonesia adalah .....................................................................................................................................................................................................................The Indonesian National Qualifications Framework is ................................................................
Jombang, ............................................RektorDekan Fak.............................................RectorDean of ......................................................
Prof. DR. H. Ahmad Zahro, MA.............................................................NIPY : 11 010901 001NIPY. ............................................ID Number ID Number
