Anda di halaman 1dari 1

KEMENTERIAN PENDIDIKAN DAN KEBUDAYAAN

UNIVERSITAS TANJUNGPURA
LEMBAR KONSULTASI RENCANA STUDI
DENGAN DOSEN PEMBIMBING AKADEMIK
Fakultas
Program Studi / BKK
NIM
N I P Dosen PA

: ............................................... Jurusan
: ....................................................
: ............................................... Sem. / Thn. Akad
: .....................................................
: ............................................... Nama
: .....................................................
: ............................................... Nama Dosen P.A
:......................................................
Indeks Prestasi Sebelumnya
: ...........................
Indeks Prestasi kumulatif sebelumnya : ...........................
Maksimum sks yang dapat diambil
: ...........................

No.

Kode

Mata Kuliah

W/P

SKS

Prf. Dosen

Keterangan

1.

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

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

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

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

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

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

2.

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

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

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

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

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

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

3.

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

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

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

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

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

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

4.

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

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

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

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

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

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

5.

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

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

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

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

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

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

6.

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

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

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

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

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

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

7.

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

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

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

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

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

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

8.

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

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

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

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

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

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

9.

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

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

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

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

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

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

10.

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

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

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

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

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

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

11.

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

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

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

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

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

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

12.

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

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

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

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

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

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

13.

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

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

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

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

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

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

14.

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

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

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

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

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

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

15.

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

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

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

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

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

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

PENGISIAN KODE MATA KULIAH HARUS SESUAI


DENGAN BUKU PEDOMAN UNTAN YANG TERBARU

Jumlah
SKS

Pontianak, ...........................................................
Dosen
Pemb. Akademik,

( ................................................... )
NIP.

Mahasiswa,

( ................................................... )
NIM.