UNIVERSITAS TANJUNGPURA

(Surat Keputusan Presiden RI Nomor 171, tanggal 15 Agustus 1967)

SURAT KETERANGAN PENDAMPING IJAZAH
SUPPLEMENT TO THE CERTIFICATE

1. INFORMASI TENTANG IDENTITAS DIRI PEMEGANG SKPI

1. Information Identifying The Holder of Diploma Supplement
NAMA LENGKAP TAHUN LULUS
Full Name Year of Competion
____________________________________ ____________________________________
TEMPAT DAN TANGGAL LAHIR NOMOR IJAZAH
Date and Place of Birth Certificate number
____________________________________ (Tidak diisi)
NOMOR INDUK MAHASISWA GELAR
Student Identification Number Name of Qualification
____________________________________ ____________________________________

2. INFORMASI TENTANG IDENTITAS PENYELENGGARAAN PROGRAM

2. Information identifying the Jawarding Institution
SK PENDIRIAN PERGURUAN TINGGI PERSYARATAN PENERIMAAN
Awarding Institution Lecture Entry Requirements
Surat Keputusan Presiden RI Nomor 171, tanggal Lulus Pendidikan Menengah/Sederajat dan
15 Agustus 1967 Lulus Seleksi Mahasiswa Baru
Graduate from High School or similar level of
education and Passed the Student Admission
Selection
NAMA PERGURUAN TINGGI BAHASA PENGANTAR KULIAH
Awarding Institution Language of Instruction
Universitas Tanjungpura Indonesia
Tanjungpura University Indonesian
PROGRAM STUDI SISTEM PENILAIAN
Major Grading System
_____________________________________ Skala 1-4; A = 4, B = 3, C = 2, D = 1
Scale 1-4; A = 1, B = 3, C = 2. D = 1
JENIS DAN JENJANG PENDIDIKAN LAMA STUDI
Type and Level of Education Length of Study
Sarjana (Strata 1) ______ Semester
Bachelor Degree
JENJANG KUALIFIKASI SESUAI KKNI JENIS DAN JENJANG PENDIDIKAN
Level of Qualification the National LANJUTAN
Qualification Framework Acces to Further Study
Level 6 Program Magister dan Doktoral
Master & Doctoral Program

3. INFORMASI TENTANG KUALIFIKASI DAN HASIL YANG DICAPAI

3. Information Identifying the Qualification and Outcames Obtained
 A. CAPAIAN PEMBELAJARAN
1. _________________________________
_________________________________
_________________________________
2. _________________________________
_________________________________
_________________________________
3. Dst
A. LEARNING OUTCOMES
1. _________________________________
_________________________________
_________________________________
2. _________________________________
_________________________________
_________________________________
3. Dst

B. AKTIVITAS PRESTASI DAN B. AKTIVITAS PRESTASI DAN

PENGHARGAAN
1. _________________________________
_________________________________
_________________________________
2. _________________________________
_________________________________
_________________________________
3. Dst
PENGHARGAAN
1. _________________________________
_________________________________
_________________________________
2. _________________________________
_________________________________
_________________________________
3. Dst

Dikeluarkan di / Issued in : Pontianak

Tanggal / Date :
Dekan FKIP Untan
Dean of FKIP Untan

Dr. H. Martono
NIP. 196803161994031014

Catatan: Mohon diisi pada bagian data yang ditandai garis ( ____ )