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KEMENTERIAN RISET, TEKNOLOGI DAN PENDIDIKAN TINGGI

UNIVERSITAS JENDERAL SOEDIRMAN


FAKULTAS PERIKANAN DAN ILMU KELAUTAN
Jalan dr. Suparno Komp. GOR Susilo Sudarman Karangwangkal Purwokerto
Telp. & Fax. (0281) 642360 & 7607433 Website : fpik.unsoed.ac.id

PERSETUJUAN PELAKSANAAN
SEMINAR USULAN PENELITIAN/ UJIAN SKRIPSI

Menyatakan bahwa mahasiswa tersebut di bawah ini telah disetujui untuk melaksanakan Seminar usulan
penelitian / Ujian skripsi*) :

Nama : ......................................................................................................................
NIM : ......................................................................................................................
Program Studi : ......................................................................................................................
Judul : ......................................................................................................................
......................................................................................................................
......................................................................................................................
......................................................................................................................
......................................................................................................................
Pada hari/tanggal : ......................................................................................................................
Waktu : ......................................................................................................................
Tempat : ......................................................................................................................

Purwokerto, ........................20.... Purwokerto, ........................20....


Pembimbing I, Pembimbing II,

(..................................................) (..................................................)
NIP. ............................................ NIP. ............................................
KEMENTERIAN RISET, TEKNOLOGI DAN PENDIDIKAN TINGGI
UNIVERSITAS JENDERAL SOEDIRMAN
FAKULTAS PERIKANAN DAN ILMU KELAUTAN
Jalan dr. Suparno Komp. GOR Susilo Sudarman Karangwangkal Purwokerto
Telp. & Fax. (0281) 642360 & 7607433 Website : fpik.unsoed.ac.id

SURAT KETERANGAN KESEDIAAN PEMBIMBING/PENELAAH UNTUK


PELAKSANAAN SEMINAR UP / UJIAN SKRIPSI

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

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

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

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

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

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

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

Tim Penguji Seminar UP / Ujian Skripsi :


Tanggal/
No Nama Dosen Tugas
Tanda tangan

1.

2.

3.

4.
MATRIKS KESEDIAAN DOSEN PENGUJI

Bulan : ………………………………………….
No Nama Dosen Tugas Minggu I Minggu II Minggu III Minggu IV Minggu V

1. Pembimbing I

2. Pembimbing II

3. Penelaah I

4. Penelaah II

Jadwal Pelaksanaan : ...........................................................................


Hari/tanggal : ...........................................................................
Waktu : ...........................................................................
Tempat : ...........................................................................