CHECKLIST NASKAH MASUK

FIKSI
IDENTIFIKASI
Data Penulis
Nama
: ____________________________ Nama Pena :
_______________________
Alamat domisili/surat-menyurat:
________________________________________________
____________________________________________________________________________
Telepon/HP : ___________________________________ T.T.L
:________________________
E-mail/Facebook/Twitter:
______________________________________________________
Background pendidikan:
_______________________________________________________
Hobi/bidang minat:
___________________________________________________________
Pekerjaan utama:
_____________________________________________________________
Profesi sampingan/lainnya:
_____________________________________________________
Buku yang pernah ditulis:
______________________________________________________
Karya tulis lainnya (yang sudah dipublikasikan):
_____________________________________
____________________________________________________________________________
Informasi lainnya yang ingin disampaikan:
_________________________________________
____________________________________________________________________________
Data Naskah
Judul Naskah

_______________________________________________________________
1

Kategori
: Fiksi Umum
Sastra Populer
Domestic Drama
Mainstream Romance
Baby Love

Campus Drama
Realistic Fiction Teen Romance
Lainnya (sebutkan)
_____________________________________________
Tebal Naskah

: ________ Halaman A4, Spasi 1, Times News

Roman 12
Ide dasar naskah :
____________________________________________________________
____________________________________________________________
____________________________________________________________
Target Pembaca

____________________________________________________________
Usia :
12-15th, 12-15th, 15-18th, 18-30th, >30th,
________________________
remaja dewasa

Kompetitor: (sebutkan minimal 5 judul novel lokal yang kemungkinan

akan menjadi pesaing naskah, seandainya diterbitkan).
Format: Judul/Penulis/Penerbit (mis: Radio/Sebastian Manalu/PopBooks)

1. _______________________________________________________________________
2. _______________________________________________________________________
3. _______________________________________________________________________
4. _______________________________________________________________________
5. _______________________________________________________________________
6. _______________________________________________________________________
7. _______________________________________________________________________
Promosi yang mungkin dilakukan :
_______________________________________________
_________________________________________________________________________
_________________________________________________________________________
Area/daerah prioritas penjualan dan promosi:
______________________________________
2

_________________________________________________________________________

REFERENSI DAN MATERI PENDUKUNG

Sebutkan sumber kutipan, saduran, quote, atau apa saja yang bukan karya asli kamu tapi ada di dalam
naskah

Referensi (kalau ada):

1. _______________________________________________________________________
2. _______________________________________________________________________
3. _______________________________________________________________________
4. _______________________________________________________________________
5. _______________________________________________________________________
Data/keterangan yang saya isi/berikan sudah benar dan bisa
dipertanggungjawabkan.

(______________________________)
Penulis