KEMENTERIAN PENDIDIKAN DAN KEBUDAYAAN

UNIVERSITAS JENDERAL SOEDIRMAN FAKULTAS PERTANIAN

Jalan dr. Soeparno 61 Karangwangkal - Purwokerto Kode Pos.53123
Telepon (0281) 638791 Faksimile (0281) 638791
Email : [email protected] Laman : http://faperta.unsoed.ac.id

BERKAS SIDANG SKRIPSI

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

NIM :...................................................................................................
Jurusan :...................................................................................................
Program Studi :...................................................................................................
Telah Melaksanakan: 1. Seminar Proposal Penelitian
2. Seminar Hasil Penelitian

No Syarat - syarat Keterangan

1 Foto Copy Kartu Studi Mahasiswa (KSM)
2 Surat Keterangan Selesai Praktek Penelitian
3 Surat Keterangan Bebas Laboratorium Sesuai Dengan Program Studi
4 Biodata Alumni ( rangkap 3 )
5 Formulir Pendaftaran / Persyaratan Ujian Akhir Tingkat Sarjana ( Rangkap 3 )
6 Menyerahkan Kartu Konsultasi Skripsi dan Kartu Seminar
7 Foto Copy Transkrip Sebanyak 8 Lembar
8 Usulan Penelitian dan PKL ( Tanda Terima dari Masing-masing Program Studi )
9 Foto Copy Nilai UEPT

Purwokerto,................................20....
Subag Akademik dan Kemahasiswaan.

.........................................................
NIP.
Catatan : Stopmap Sesuai Program Studi/ Jurusan
Agroteknologi : Warna Hijau
Tek. Pert. : Warna Biru
Sosek : Warna Merah

SURAT KETERANGAN
SELESAI PRAKTEK PENELITIAN
Yang bertanda tangan di bawah ini menerangkan bahwa :

Nama : ....................................................................................................................
NIM : ....................................................................................................................
Program Studi : ....................................................................................................................
Jurusan : ....................................................................................................................

Telah selesai melaksanakan Praktek Penelitian dengan judul :

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

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

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

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

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..

Mulai Tanggal : .................................................................................

Sampai Dengan : .................................................................................
Di : .................................................................................
Kecamatan : .................................................................................
Kabupaten : .................................................................................

Demikian untuk diketahui dan digunakan seperlunya.

Diketahui :

Pembimbing I Pembimbing II

............................................................... ...............................................................
NIP....................................................... NIP.......................................................

FORMULIR PERSYARATAN UJIAN AKHIR TINGKAT SARJANA

FAKULTAS PERTANIAN
1. Nama Lengkap : ...........................................................................................
 2. Nomor Induk Mahasiswa : ...........................................................................................
3. Program Studi : ...........................................................................................
4. Tempat Tgl. Lahir : ...........................................................................................
5. Masuk Fak. Pertanian : ...........................................................................................
6. Alamat Kost : ...........................................................................................
7. Alamat Rumah : ...........................................................................................
8. Sripsi : ...........................................................................................
Mulai Tanggal/Bulan : ...........................................................................................
Selesai s/d Ujian Skripsi : ...........................................................................................
Judul : ...........................................................................................
...........................................................................................
Dosen Pembimbing I : ...........................................................................................
Dosen Pembimbing II : ...........................................................................................
9. Praktik Kerja Lapang : ...........................................................................................
Mulai Tgl / Bulan : ...........................................................................................
Selesai Ujian Tgl : ...........................................................................................
Judul : ...........................................................................................
...........................................................................................
Dosen Pembimbing : ...........................................................................................
10. Kuliah Kera Nyata : ...........................................................................................
Mulai Tanggal : ...........................................................................................
Selesai tanggal : ...........................................................................................
Nilai : ...........................................................................................
11. Lokasi Kuliah Kerja Nyata : ...........................................................................................
Desa : ...........................................................................................
Kecamatan : ...........................................................................................
Kabupaten : ...........................................................................................
12 . Dosen Pemb. Lapangan : ...........................................................................................
Kuliah Kerja Nyata : ...........................................................................................
13. IPK Sebelum Ujian Akhir : ...........................................................................................

Mengingat pentingnya data-data tersebut di atas sebagai bahan untuk pembuatan ijazah, maka
telah saya isi dengan sebenarnya. Apabila dikemudian hari ternyata palsu saya bersedian
menerima resikonya.

Purwokerto, ............................20......
Yang Membuat

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

KEMENTERIAN PENDIDIKAN DAN KEBUDAYAAN

UNIVERSITAS JENDERAL SOEDIRMAN FAKULTAS PERTANIAN
Jalan dr. Soeparno 61 Karangwangkal - Purwokerto Kode Pos.53123
Telepon (0281) 638791 Faksimile (0281) 638791
Email : [email protected] Laman : http://faperta.unsoed.ac.id
Perihal : Surat keterangan bebas pinjaman laboratorium
Fakultas Pertanian Unsoed

Yth. Sub. Bagian Akademik dan Kemahasiswaan

Fakultas Pertanian Unsoed
Purwokerto

Yang bertanda tangan dibawah ini menerangkan bahwa :

Nama : ...................................................................................................
NIM : ...................................................................................................
Jurusan : Teknologi Pertanian
Program Studi : TEP dan ITP
Tingakat : ...................................................................................................

Telah menyelesaikan tugasnya, baik praktek laboratorium, lapangan dan sudah tidak lagi
mempunyai tenggungan / pinjaman alat-alat laboratorium Fakultas Pertanian Unsoed. Kemudian
harap menjadi maklum dan digunakan seperlunya.

1. Kepala Lab. Teknologi Pengolahan 2. Kepala Lab. Manajemen Agroindustri

Dr. Ike Sitoresmi Mulyo P., S.TP, M.Sc. Dr. Ir. Tri Yanto, M.T.
NIP. 197310181999032001 NIP. 196212011987021001
3. Kepala Lab. Pangan dan Gizi

Dra. Erminawati, M.Sc., Ph.D.

NIP. 195702151981112001

KEMENTERIAN PENDIDIKAN DAN KEBUDAYAAN

UNIVERSITAS JENDERAL SOEDIRMAN FAKULTAS PERTANIAN
Jalan dr. Soeparno 61 Karangwangkal - Purwokerto Kode Pos.53123
Telepon (0281) 638791 Faksimile (0281) 638791
Email : [email protected] Laman : http://faperta.unsoed.ac.id

Perihal : Surat keterangan bebas pinjaman laboratorium

 Fakultas Pertanian Unsoed

Yth. Sub. Bagian Akademik dan Kemahasiswaan

Fakultas Pertanian Unsoed
Purwokerto

Yang bertanda tangan dibawah ini menerangkan bahwa :

Nama : ...................................................................................................
NIM : ...................................................................................................
Jurusan : Sosial Ekonomi Pertanian
Program Studi : Agribisnis
Tingakat : ...................................................................................................

Telah menyelesaikan tugasnya, baik praktek laboratorium, lapangan dan sudah tidak lagi
mempunyai tenggungan / pinjaman alat-alat laboratorium Fakultas Pertanian Unsoed. Kemudian
harap menjadi maklum dan digunakan seperlunya.

1. Kepala Lab. Perenc. Dan Pengembangan 2. Kepala Lab. Manajemen Agribisnis

Sumberdaya

Budi Dharmawan, S.P., M.Si., Ph.D. Ratna Satriani, S.P., M.Sc.

NIP. 198009092003121003 NIP. 198308282009122002

KEMENTERIAN PENDIDIKAN DAN KEBUDAYAAN

UNIVERSITAS JENDERAL SOEDIRMAN FAKULTAS PERTANIAN
Jalan dr. Soeparno 61 Karangwangkal - Purwokerto Kode Pos.53123
Telepon (0281) 638791 Faksimile (0281) 638791
Email : [email protected] Laman : http://faperta.unsoed.ac.id

Perihal : Surat keterangan bebas pinjaman laboratorium

Fakultas Pertanian Unsoed
Yth. Sub. Bagian Akademik dan Kemahasiswaan
Fakultas Pertanian Unsoed
Purwokerto

Yang bertanda tangan dibawah ini menerangkan bahwa :

Nama : ...................................................................................................
NIM : ...................................................................................................
Jurusan : Agroteknologi
Program Studi : Agroteknologi
Tingakat : ...................................................................................................

Telah menyelesaikan tugasnya, baik praktek laboratorium, lapangan dan sudah tidak lagi
mempunyai tenggungan / pinjaman alat-alat laboratorium Fakultas Pertanian Unsoed. Kemudian
harap menjadi maklum dan digunakan seperlunya.

1. Kepala Lab. Tanah/Sumberdaya Lahan 2. Kepala Lab. Perlindungan Tanaman

Dr. Ir. Tamad, M.P. Dr. Ir. Nur Prihatiningsih, M.S.

NIP. 196510271990031002 NIP. 196105141986012001
3. Kepala Lab. Agronomi dan Hortikultura 4. Kepala Lab. Pemuliaan Tanaman dan
Bioteknologi

Ir. Agus Sarjito, M.Sc Fatichin, S.P., M.P., Ph.D.

NIP. 196010131987031001 NIP. 197704232003121002
5. Kepala Lab. Agroekologi

Ahadiyat Yugi R., S.P., M.Si. D.Tech. Sc.

NIP. 197102141999031002

KEMENTERIAN PENDIDIKAN DAN KEBUDAYAAN

UNIVERSITAS JENDERAL SOEDIRMAN FAKULTAS PERTANIAN
Jalan dr. Soeparno 61 Karangwangkal - Purwokerto Kode Pos.53123
Telepon (0281) 638791 Faksimile (0281) 638791
Email : [email protected] Laman : http://faperta.unsoed.ac.id

ISIAN BIODATA ALUMNI

Nama : ...........................................................................................
NIM : ...........................................................................................
Jenis Kelamin : ...........................................................................................
Tempat Lahir : ...........................................................................................
Tanggal Lahir : ...........................................................................................
Tanggal Lulus : ...........................................................................................
IPK : ...........................................................................................
Predikat : ...........................................................................................
Agama : ...........................................................................................
Alamat Rumah : ...........................................................................................
...........................................................................................
...........................................................................................
HP : ...........................................................................................
Tahun Masuk : ...........................................................................................
Fakultas : ............................................................................................
Jurusan : ............................................................................................
Prog. Studi : ............................................................................................
Lama Studi : ............................................................................................
Asal SLTA : ............................................................................................
Tgl Lulus SLTA : ............................................................................................
Nama Orang Tua : ............................................................................................
Pekerjaan Orang Tua : ...........................................................................................
Alamat Orang Tua : ...........................................................................................
...........................................................................................
...........................................................................................
...........................................................................................
Judul Laporan : ...........................................................................................
...........................................................................................
...........................................................................................
...........................................................................................
Pembimbing Utama : ...........................................................................................

Yang Membuat

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

TANDA TERIMA USULAN PENELITIAN DAN PKL

1. Telah terima usulan penelitian dengan judul :

..........................................................................................................................................................
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 ..........................................................................................................................................................
2. Laporan Praktik Kerja Lapangan dengan Judul :
..........................................................................................................................................................
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..........................................................................................................................................................
..........................................................................................................................................................

Dengan demikian dapat digunakan sebagai persyaratan Untuk Pendadaran

Purwokerto, …………………… 2020

Yang menerima Yang Menyerahkan
Ketua Program Studi

..................................................................... ......................................................................
NIP.

KEMENTERIAN PENDIDIKAN DAN KEBUDAYAAN

UNIVERSITAS JENDERAL SOEDIRMAN FAKULTAS PERTANIAN
Jalan dr. Soeparno 61 Karangwangkal - Purwokerto Kode Pos.53123
Telepon (0281) 638791 Faksimile (0281) 638791
Email : [email protected] Laman : http://faperta.unsoed.ac.id

SYARAT YUDISIUM
NAMA : ...................................................................................................................

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

PRODI / JURUSAN : ...................................................................................................................

NO. URUT : ...................................................................................................................

No. Pesyaratan Checklist

1 Foto Copy Kwitansi SPP / UKT
2 Tanda Terima Skripsi dari Perpustakaan Unsoed
3 Tanda Terima Skripsi dari Pembimbing I dan Pembimbing II
4 Menyerahkan CD Skripsi
5 Menyerahkan Kartu Kendali ( Kartu Kegiatan Mhs )
6 Surat keterangan unggah artikel ilmiah
7 Surat Keterangan Bebas Perpustakaan Unsoed dan Fakultas
8 Surat Keterangan ( Tanda Terima Skripsi ) Dari Perpus Pusat
9 Foto Ukuran 3 x 4 ( 2 lbr ) Hitam Putih, dan Ukuran Kartu Pos 1 Lembar (bebas )
10 Transkrip 15 lembar

Purwokerto,..............................................2020
Petugas Pendaftaran

............................................................
NIP.