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FRM/DPD/PKL/008

KEMENTERIAN PENDIDIKAN DAN KEBUDAYAAN


INSTITUT PERTANIAN BOGOR
SEKOLAH VOKASI
Kampus IPB Cilibende, Jl. Kumbang No.14 Bogor 16151
Telp. (0251) 8329101, 8329051, Fax (0251) 8329101

Nama Instansi : …………………………………………………….......................………………


DAFTAR KEHADIRAN TUGAS AKHIR
Alamat : …………………………………………………………….........……..............…
…………………………………………………….........………………..............
…………………………………………………….........………………..............

Periode Kegiatan (Minggu 1): 03 – 09 Februari 2020 FRM/DPD/PKL/011


DEPARTEMEN PENDIDIKAN NASIONAL
Hari / Tanggal
INSTITUT PERTANIAN BOGOR
No. Nama Mahasiswa / NIM
DIREKTORATSenin
PROGRAM DIPLOMA
Selasa Rabu Kamis Jumat Sabtu Ahad
Kampus IPB Cilibende, Jl. Kumbang No.14 Bogor 16151
Telp. (0251) 8329101, 8329051, Fax (0251) 8329101
No. Revisi : 01 Hal: 1/7 Tanggal Berlaku : 1 Februari 2010
PEMILIHAN MINAT BIDANG KAJIAN PKL*)
PROGRAM KEAHLIAN …………………………………..
TAHUN AKADEMIK 20.../20...

Nama : ............................................................
NIM : ........................

Usulan Minat Bidang Kajian**) :


1. .......................................................
2. .......................................................
3. .......................................................

Usulan Lokasi PKL :


Nama Perusahaan/Instansi : ...............................................................................
...............................................................................

Alamat Lengkap : ...............................................................................


...............................................................................
...............................................................................
Nama Pimpinan Perusahaan/Instansi : ...............................................................................

Contact Person/Telepon/HP/E-mail : ...............................................................................


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

Bogor, ____________________
Mahasiswa,

(__________________________)
Keterangan
*) Dikumpulkan paling lambat Tgl ................... FRM/DPD/PKL/008
**) Urutan berdasarkan prioritas
KEMENTERIAN PENDIDIKAN DAN KEBUDAYAAN
INSTITUT PERTANIAN BOGOR
SEKOLAH VOKASI
Kampus IPB Cilibende, Jl. Kumbang No.14 Bogor 16151
Telp. (0251) 8329101, 8329051, Fax (0251) 8329101

DAFTAR KEHADIRAN
03 04 TUGAS
05 AKHIR
06 07 08 09

Paraf Pembimbing Lapang


FRM/DPD/PKL/011
DEPARTEMEN PENDIDIKAN NASIONAL
Periode Kegiatan (Minggu 2): INSTITUT
10 – 16 Februari 2020
PERTANIAN BOGOR
DIREKTORAT PROGRAM DIPLOMA
No. Nama Mahasiswa / NIM Hari / Tanggal
Kampus IPB Cilibende, Jl. Kumbang No.14 Bogor 16151
Telp. (0251) 8329101, 8329051, Fax (0251) 8329101
No. Revisi : 01 Hal: 2/7 Tanggal Berlaku : 1 Februari 2010
PEMILIHAN MINAT BIDANG KAJIAN PKL*)
PROGRAM KEAHLIAN …………………………………..
TAHUN AKADEMIK 20.../20...

Nama : ............................................................
NIM : ........................

Usulan Minat Bidang Kajian**) :


1. .......................................................
2. .......................................................
3. .......................................................

Usulan Lokasi PKL :


Nama Perusahaan/Instansi : ...............................................................................
...............................................................................

Alamat Lengkap : ...............................................................................


...............................................................................
...............................................................................
Nama Pimpinan Perusahaan/Instansi : ...............................................................................

Contact Person/Telepon/HP/E-mail : ...............................................................................


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

Bogor, ____________________
Mahasiswa,

(__________________________)
Keterangan
*) Dikumpulkan paling lambat Tgl ................... FRM/DPD/PKL/008
**) Urutan berdasarkan prioritas
KEMENTERIAN PENDIDIKAN DAN KEBUDAYAAN
INSTITUT PERTANIAN BOGOR
SEKOLAH VOKASI
Kampus IPB Cilibende, Jl. Kumbang No.14 Bogor 16151
Telp. (0251) 8329101, 8329051, Fax (0251) 8329101

DAFTAR KEHADIRAN TUGAS


Senin Selasa AKHIR
Rabu Kamis Jumat Sabtu Ahad

10 11 12 13 14 15 16

FRM/DPD/PKL/011
Paraf Pembimbing Lapang
DEPARTEMEN PENDIDIKAN NASIONAL
INSTITUT PERTANIAN BOGOR
DIREKTORAT PROGRAM DIPLOMA
Periode Kegiatan (Minggu 3): 17 – 23 Februari 2020
Kampus IPB Cilibende, Jl. Kumbang No.14 Bogor 16151
Telp. (0251) 8329101, 8329051, Fax (0251) 8329101
No. Revisi : 01 Hal: 3/7 Tanggal Berlaku : 1 Februari 2010
PEMILIHAN MINAT BIDANG KAJIAN PKL*)
PROGRAM KEAHLIAN …………………………………..
TAHUN AKADEMIK 20.../20...

Nama : ............................................................
NIM : ........................

Usulan Minat Bidang Kajian**) :


1. .......................................................
2. .......................................................
3. .......................................................

Usulan Lokasi PKL :


Nama Perusahaan/Instansi : ...............................................................................
...............................................................................

Alamat Lengkap : ...............................................................................


...............................................................................
...............................................................................
Nama Pimpinan Perusahaan/Instansi : ...............................................................................

Contact Person/Telepon/HP/E-mail : ...............................................................................


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

Bogor, ____________________
Mahasiswa,

(__________________________)
Keterangan
*) Dikumpulkan paling lambat Tgl ................... FRM/DPD/PKL/008
**) Urutan berdasarkan prioritas
KEMENTERIAN PENDIDIKAN DAN KEBUDAYAAN
INSTITUT PERTANIAN BOGOR
SEKOLAH VOKASI
Kampus IPB Cilibende, Jl. Kumbang No.14 Bogor 16151
Telp. (0251) 8329101, 8329051, Fax (0251) 8329101

DAFTAR KEHADIRAN TUGAS AKHIR


Hari / Tanggal

No. Nama Mahasiswa / NIM Senin Selasa Rabu Kamis Jumat Sabtu Ahad

17 18 19 20 21 22 23

1 FRM/DPD/PKL/011
DEPARTEMEN PENDIDIKAN NASIONAL
INSTITUT PERTANIAN BOGOR
Paraf Pembimbing Lapang
DIREKTORAT PROGRAM DIPLOMA
Kampus IPB Cilibende, Jl. Kumbang No.14 Bogor 16151
Telp. (0251) 8329101, 8329051, Fax (0251) 8329101
No. Revisi : 01 Hal: 4/7 Tanggal Berlaku : 1 Februari 2010
PEMILIHAN MINAT BIDANG KAJIAN PKL*)
PROGRAM KEAHLIAN …………………………………..
TAHUN AKADEMIK 20.../20...

Nama : ............................................................
NIM : ........................

Usulan Minat Bidang Kajian**) :


1. .......................................................
2. .......................................................
3. .......................................................

Usulan Lokasi PKL :


Nama Perusahaan/Instansi : ...............................................................................
...............................................................................

Alamat Lengkap : ...............................................................................


...............................................................................
...............................................................................
Nama Pimpinan Perusahaan/Instansi : ...............................................................................

Contact Person/Telepon/HP/E-mail : ...............................................................................


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

Bogor, ____________________
Mahasiswa,

(__________________________)
Keterangan
*) Dikumpulkan paling lambat Tgl ................... FRM/DPD/PKL/008
**) Urutan berdasarkan prioritas
KEMENTERIAN PENDIDIKAN DAN KEBUDAYAAN
INSTITUT PERTANIAN BOGOR
SEKOLAH VOKASI
Kampus IPB Cilibende, Jl. Kumbang No.14 Bogor 16151
Telp. (0251) 8329101, 8329051, Fax (0251) 8329101

DAFTAR KEHADIRAN TUGAS AKHIR

FRM/DPD/PKL/011
DEPARTEMEN PENDIDIKAN NASIONAL
INSTITUT PERTANIAN BOGOR
DIREKTORAT PROGRAM DIPLOMA
Kampus IPB Cilibende, Jl. Kumbang No.14 Bogor 16151
Telp. (0251) 8329101, 8329051, Fax (0251) 8329101
No. Revisi : 01 Hal: 5/7 Tanggal Berlaku : 1 Februari 2010
PEMILIHAN MINAT BIDANG KAJIAN PKL*)
PROGRAM KEAHLIAN …………………………………..
TAHUN AKADEMIK 20.../20...

Nama : ............................................................
NIM : ........................

Usulan Minat Bidang Kajian**) :


1. .......................................................
2. .......................................................
3. .......................................................

Usulan Lokasi PKL :


Nama Perusahaan/Instansi : ...............................................................................
...............................................................................

Alamat Lengkap : ...............................................................................


...............................................................................
...............................................................................
Nama Pimpinan Perusahaan/Instansi : ...............................................................................

Contact Person/Telepon/HP/E-mail : ...............................................................................


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

Bogor, ____________________
Mahasiswa,

(__________________________)
Keterangan
*) Dikumpulkan paling lambat Tgl ................... FRM/DPD/PKL/008
**) Urutan berdasarkan prioritas
KEMENTERIAN PENDIDIKAN DAN KEBUDAYAAN
INSTITUT PERTANIAN BOGOR
SEKOLAH VOKASI
Kampus IPB Cilibende, Jl. Kumbang No.14 Bogor 16151
Telp. (0251) 8329101, 8329051, Fax (0251) 8329101

Nama Instansi : …………………………………………………….......................………………


DAFTAR KEHADIRAN TUGAS AKHIR
Alamat : …………………………………………………………….........……..............…
…………………………………………………….........………………..............
…………………………………………………….........………………..............

Periode Kegiatan (Minggu 4): 24 Februari – 1 Maret 2020 FRM/DPD/PKL/011


DEPARTEMEN PENDIDIKAN NASIONAL
Hari / Tanggal
INSTITUT PERTANIAN BOGOR
No. Nama Mahasiswa / NIM
DIREKTORATSenin
PROGRAM DIPLOMA
Selasa Rabu Kamis Jumat Sabtu Ahad
Kampus IPB Cilibende, Jl. Kumbang No.14 Bogor 16151
Telp. (0251) 8329101, 8329051, Fax (0251) 8329101
No. Revisi : 01 Hal: 6/7 Tanggal Berlaku : 1 Februari 2010
PEMILIHAN MINAT BIDANG KAJIAN PKL*)
PROGRAM KEAHLIAN …………………………………..
TAHUN AKADEMIK 20.../20...

Nama : ............................................................
NIM : ........................

Usulan Minat Bidang Kajian**) :


1. .......................................................
2. .......................................................
3. .......................................................

Usulan Lokasi PKL :


Nama Perusahaan/Instansi : ...............................................................................
...............................................................................

Alamat Lengkap : ...............................................................................


...............................................................................
...............................................................................
Nama Pimpinan Perusahaan/Instansi : ...............................................................................

Contact Person/Telepon/HP/E-mail : ...............................................................................


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

Bogor, ____________________
Mahasiswa,

(__________________________)
Keterangan
*) Dikumpulkan paling lambat Tgl ................... FRM/DPD/PKL/008
**) Urutan berdasarkan prioritas
KEMENTERIAN PENDIDIKAN DAN KEBUDAYAAN
INSTITUT PERTANIAN BOGOR
SEKOLAH VOKASI
Kampus IPB Cilibende, Jl. Kumbang No.14 Bogor 16151
Telp. (0251) 8329101, 8329051, Fax (0251) 8329101

DAFTAR KEHADIRAN
24 25 TUGAS
26 AKHIR
27 28 29 01

Paraf Pembimbing Lapang


FRM/DPD/PKL/011
DEPARTEMEN PENDIDIKAN NASIONAL
Periode Kegiatan (Minggu 5): INSTITUT
02 – 08 Maret 2020
PERTANIAN BOGOR
DIREKTORAT PROGRAM DIPLOMA
No. Nama Mahasiswa / NIM Hari / Tanggal
Kampus IPB Cilibende, Jl. Kumbang No.14 Bogor 16151
Telp. (0251) 8329101, 8329051, Fax (0251) 8329101
No. Revisi : 01 Hal: 7/7 Tanggal Berlaku : 1 Februari 2010
PEMILIHAN MINAT BIDANG KAJIAN PKL*)
PROGRAM KEAHLIAN …………………………………..
TAHUN AKADEMIK 20.../20...

Nama : ............................................................
NIM : ........................

Usulan Minat Bidang Kajian**) :


1. .......................................................
2. .......................................................
3. .......................................................

Usulan Lokasi PKL :


Nama Perusahaan/Instansi : ...............................................................................
...............................................................................

Alamat Lengkap : ...............................................................................


...............................................................................
...............................................................................
Nama Pimpinan Perusahaan/Instansi : ...............................................................................

Contact Person/Telepon/HP/E-mail : ...............................................................................


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

Bogor, ____________________
Mahasiswa,

(__________________________)
Keterangan
*) Dikumpulkan paling lambat Tgl ................... FRM/DPD/PKL/008
**) Urutan berdasarkan prioritas
KEMENTERIAN PENDIDIKAN DAN KEBUDAYAAN
INSTITUT PERTANIAN BOGOR
SEKOLAH VOKASI
Kampus IPB Cilibende, Jl. Kumbang No.14 Bogor 16151
Telp. (0251) 8329101, 8329051, Fax (0251) 8329101

DAFTAR KEHADIRAN TUGAS


Senin Selasa AKHIR
Rabu Kamis Jumat Sabtu Ahad

02 03 04 05 06 07 08

FRM/DPD/PKL/011
Paraf Pembimbing Lapang
DEPARTEMEN PENDIDIKAN NASIONAL
INSTITUT PERTANIAN BOGOR
DIREKTORAT PROGRAM DIPLOMA
Periode Kegiatan (Minggu 6): 09 – 15 Maret 2020
Kampus IPB Cilibende, Jl. Kumbang No.14 Bogor 16151
Telp. (0251) 8329101, 8329051, Fax (0251) 8329101
No. Revisi : 01 Hal: 8/7 Tanggal Berlaku : 1 Februari 2010
PEMILIHAN MINAT BIDANG KAJIAN PKL*)
PROGRAM KEAHLIAN …………………………………..
TAHUN AKADEMIK 20.../20...

Nama : ............................................................
NIM : ........................

Usulan Minat Bidang Kajian**) :


1. .......................................................
2. .......................................................
3. .......................................................

Usulan Lokasi PKL :


Nama Perusahaan/Instansi : ...............................................................................
...............................................................................

Alamat Lengkap : ...............................................................................


...............................................................................
...............................................................................
Nama Pimpinan Perusahaan/Instansi : ...............................................................................

Contact Person/Telepon/HP/E-mail : ...............................................................................


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

Bogor, ____________________
Mahasiswa,

(__________________________)
Keterangan
*) Dikumpulkan paling lambat Tgl ................... FRM/DPD/PKL/008
**) Urutan berdasarkan prioritas
KEMENTERIAN PENDIDIKAN DAN KEBUDAYAAN
INSTITUT PERTANIAN BOGOR
SEKOLAH VOKASI
Kampus IPB Cilibende, Jl. Kumbang No.14 Bogor 16151
Telp. (0251) 8329101, 8329051, Fax (0251) 8329101

DAFTAR KEHADIRAN TUGAS AKHIR


Hari / Tanggal

No. Nama Mahasiswa / NIM Senin Selasa Rabu Kamis Jumat Sabtu Ahad

09 10 11 12 13 14 15

1 FRM/DPD/PKL/011
DEPARTEMEN PENDIDIKAN NASIONAL
INSTITUT PERTANIAN BOGOR
Paraf Pembimbing Lapang
DIREKTORAT PROGRAM DIPLOMA
Kampus IPB Cilibende, Jl. Kumbang No.14 Bogor 16151
Telp. (0251) 8329101, 8329051, Fax (0251) 8329101
No. Revisi : 01 Hal: 9/7 Tanggal Berlaku : 1 Februari 2010
PEMILIHAN MINAT BIDANG KAJIAN PKL*)
PROGRAM KEAHLIAN …………………………………..
TAHUN AKADEMIK 20.../20...

Nama : ............................................................
NIM : ........................

Usulan Minat Bidang Kajian**) :


1. .......................................................
2. .......................................................
3. .......................................................

Usulan Lokasi PKL :


Nama Perusahaan/Instansi : ...............................................................................
...............................................................................

Alamat Lengkap : ...............................................................................


...............................................................................
...............................................................................
Nama Pimpinan Perusahaan/Instansi : ...............................................................................

Contact Person/Telepon/HP/E-mail : ...............................................................................


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

Bogor, ____________________
Mahasiswa,

(__________________________)
Keterangan
*) Dikumpulkan paling lambat Tgl ................... FRM/DPD/PKL/008
**) Urutan berdasarkan prioritas
KEMENTERIAN PENDIDIKAN DAN KEBUDAYAAN
INSTITUT PERTANIAN BOGOR
SEKOLAH VOKASI
Kampus IPB Cilibende, Jl. Kumbang No.14 Bogor 16151
Telp. (0251) 8329101, 8329051, Fax (0251) 8329101

DAFTAR KEHADIRAN TUGAS AKHIR

FRM/DPD/PKL/011
DEPARTEMEN PENDIDIKAN NASIONAL
INSTITUT PERTANIAN BOGOR
DIREKTORAT PROGRAM DIPLOMA
Kampus IPB Cilibende, Jl. Kumbang No.14 Bogor 16151
Telp. (0251) 8329101, 8329051, Fax (0251) 8329101
No. Revisi : 01 Hal: 10/7 Tanggal Berlaku : 1 Februari 2010
PEMILIHAN MINAT BIDANG KAJIAN PKL*)
PROGRAM KEAHLIAN …………………………………..
TAHUN AKADEMIK 20.../20...

Nama : ............................................................
NIM : ........................

Usulan Minat Bidang Kajian**) :


1. .......................................................
2. .......................................................
3. .......................................................

Usulan Lokasi PKL :


Nama Perusahaan/Instansi : ...............................................................................
...............................................................................

Alamat Lengkap : ...............................................................................


...............................................................................
...............................................................................
Nama Pimpinan Perusahaan/Instansi : ...............................................................................

Contact Person/Telepon/HP/E-mail : ...............................................................................


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

Bogor, ____________________
Mahasiswa,

(__________________________)
Keterangan
*) Dikumpulkan paling lambat Tgl ................... FRM/DPD/PKL/008
**) Urutan berdasarkan prioritas
KEMENTERIAN PENDIDIKAN DAN KEBUDAYAAN
INSTITUT PERTANIAN BOGOR
SEKOLAH VOKASI
Kampus IPB Cilibende, Jl. Kumbang No.14 Bogor 16151
Telp. (0251) 8329101, 8329051, Fax (0251) 8329101

Nama Instansi : …………………………………………………….......................………………


DAFTAR KEHADIRAN TUGAS AKHIR
Alamat : …………………………………………………………….........……..............…
…………………………………………………….........………………..............
…………………………………………………….........………………..............

Periode Kegiatan (Minggu 7): 16 – 22 Maret 2020 FRM/DPD/PKL/011


DEPARTEMEN PENDIDIKAN NASIONAL
Hari / Tanggal
INSTITUT PERTANIAN BOGOR
No. Nama Mahasiswa / NIM
DIREKTORATSenin
PROGRAM DIPLOMA
Selasa Rabu Kamis Jumat Sabtu Ahad
Kampus IPB Cilibende, Jl. Kumbang No.14 Bogor 16151
Telp. (0251) 8329101, 8329051, Fax (0251) 8329101
No. Revisi : 01 Hal: 11/7 Tanggal Berlaku : 1 Februari 2010
PEMILIHAN MINAT BIDANG KAJIAN PKL*)
PROGRAM KEAHLIAN …………………………………..
TAHUN AKADEMIK 20.../20...

Nama : ............................................................
NIM : ........................

Usulan Minat Bidang Kajian**) :


1. .......................................................
2. .......................................................
3. .......................................................

Usulan Lokasi PKL :


Nama Perusahaan/Instansi : ...............................................................................
...............................................................................

Alamat Lengkap : ...............................................................................


...............................................................................
...............................................................................
Nama Pimpinan Perusahaan/Instansi : ...............................................................................

Contact Person/Telepon/HP/E-mail : ...............................................................................


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

Bogor, ____________________
Mahasiswa,

(__________________________)
Keterangan
*) Dikumpulkan paling lambat Tgl ................... FRM/DPD/PKL/008
**) Urutan berdasarkan prioritas
KEMENTERIAN PENDIDIKAN DAN KEBUDAYAAN
INSTITUT PERTANIAN BOGOR
SEKOLAH VOKASI
Kampus IPB Cilibende, Jl. Kumbang No.14 Bogor 16151
Telp. (0251) 8329101, 8329051, Fax (0251) 8329101

DAFTAR KEHADIRAN
16 17 TUGAS
18 AKHIR
19 20 21 22

Paraf Pembimbing Lapang


FRM/DPD/PKL/011
DEPARTEMEN PENDIDIKAN NASIONAL
Periode Kegiatan (Minggu 8): INSTITUT
23 – 29 Maret 2020
PERTANIAN BOGOR
DIREKTORAT PROGRAM DIPLOMA
No. Nama Mahasiswa / NIM Hari / Tanggal
Kampus IPB Cilibende, Jl. Kumbang No.14 Bogor 16151
Telp. (0251) 8329101, 8329051, Fax (0251) 8329101
No. Revisi : 01 Hal: 12/7 Tanggal Berlaku : 1 Februari 2010
PEMILIHAN MINAT BIDANG KAJIAN PKL*)
PROGRAM KEAHLIAN …………………………………..
TAHUN AKADEMIK 20.../20...

Nama : ............................................................
NIM : ........................

Usulan Minat Bidang Kajian**) :


1. .......................................................
2. .......................................................
3. .......................................................

Usulan Lokasi PKL :


Nama Perusahaan/Instansi : ...............................................................................
...............................................................................

Alamat Lengkap : ...............................................................................


...............................................................................
...............................................................................
Nama Pimpinan Perusahaan/Instansi : ...............................................................................

Contact Person/Telepon/HP/E-mail : ...............................................................................


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

Bogor, ____________________
Mahasiswa,

(__________________________)
Keterangan
*) Dikumpulkan paling lambat Tgl ................... FRM/DPD/PKL/008
**) Urutan berdasarkan prioritas
KEMENTERIAN PENDIDIKAN DAN KEBUDAYAAN
INSTITUT PERTANIAN BOGOR
SEKOLAH VOKASI
Kampus IPB Cilibende, Jl. Kumbang No.14 Bogor 16151
Telp. (0251) 8329101, 8329051, Fax (0251) 8329101

DAFTAR KEHADIRAN TUGAS


Senin Selasa AKHIR
Rabu Kamis Jumat Sabtu Ahad

23 24 25 26 27 28 29

FRM/DPD/PKL/011
Paraf Pembimbing Lapang
DEPARTEMEN PENDIDIKAN NASIONAL
INSTITUT PERTANIAN BOGOR
DIREKTORAT PROGRAM DIPLOMA
Periode Kegiatan (Minggu 9): 30 Maret – 05 April 2020
Kampus IPB Cilibende, Jl. Kumbang No.14 Bogor 16151
Telp. (0251) 8329101, 8329051, Fax (0251) 8329101
No. Revisi : 01 Hal: 13/7 Tanggal Berlaku : 1 Februari 2010
PEMILIHAN MINAT BIDANG KAJIAN PKL*)
PROGRAM KEAHLIAN …………………………………..
TAHUN AKADEMIK 20.../20...

Nama : ............................................................
NIM : ........................

Usulan Minat Bidang Kajian**) :


1. .......................................................
2. .......................................................
3. .......................................................

Usulan Lokasi PKL :


Nama Perusahaan/Instansi : ...............................................................................
...............................................................................

Alamat Lengkap : ...............................................................................


...............................................................................
...............................................................................
Nama Pimpinan Perusahaan/Instansi : ...............................................................................

Contact Person/Telepon/HP/E-mail : ...............................................................................


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

Bogor, ____________________
Mahasiswa,

(__________________________)
Keterangan
*) Dikumpulkan paling lambat Tgl ................... FRM/DPD/PKL/008
**) Urutan berdasarkan prioritas
KEMENTERIAN PENDIDIKAN DAN KEBUDAYAAN
INSTITUT PERTANIAN BOGOR
SEKOLAH VOKASI
Kampus IPB Cilibende, Jl. Kumbang No.14 Bogor 16151
Telp. (0251) 8329101, 8329051, Fax (0251) 8329101

DAFTAR KEHADIRAN TUGAS AKHIR


Hari / Tanggal

No. Nama Mahasiswa / NIM Senin Selasa Rabu Kamis Jumat Sabtu Ahad

30 31 01 02 03 04 05

1 FRM/DPD/PKL/011
DEPARTEMEN PENDIDIKAN NASIONAL
INSTITUT PERTANIAN BOGOR
Paraf Pembimbing Lapang
DIREKTORAT PROGRAM DIPLOMA
Kampus IPB Cilibende, Jl. Kumbang No.14 Bogor 16151
Telp. (0251) 8329101, 8329051, Fax (0251) 8329101
No. Revisi : 01 Hal: 14/7 Tanggal Berlaku : 1 Februari 2010
PEMILIHAN MINAT BIDANG KAJIAN PKL*)
PROGRAM KEAHLIAN …………………………………..
TAHUN AKADEMIK 20.../20...

Nama : ............................................................
NIM : ........................

Usulan Minat Bidang Kajian**) :


1. .......................................................
2. .......................................................
3. .......................................................

Usulan Lokasi PKL :


Nama Perusahaan/Instansi : ...............................................................................
...............................................................................

Alamat Lengkap : ...............................................................................


...............................................................................
...............................................................................
Nama Pimpinan Perusahaan/Instansi : ...............................................................................

Contact Person/Telepon/HP/E-mail : ...............................................................................


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

Bogor, ____________________
Mahasiswa,

(__________________________)
Keterangan
*) Dikumpulkan paling lambat Tgl ................... FRM/DPD/PKL/008
**) Urutan berdasarkan prioritas
KEMENTERIAN PENDIDIKAN DAN KEBUDAYAAN
INSTITUT PERTANIAN BOGOR
SEKOLAH VOKASI
Kampus IPB Cilibende, Jl. Kumbang No.14 Bogor 16151
Telp. (0251) 8329101, 8329051, Fax (0251) 8329101

DAFTAR KEHADIRAN TUGAS AKHIR

FRM/DPD/PKL/011
DEPARTEMEN PENDIDIKAN NASIONAL
INSTITUT PERTANIAN BOGOR
DIREKTORAT PROGRAM DIPLOMA
Kampus IPB Cilibende, Jl. Kumbang No.14 Bogor 16151
Telp. (0251) 8329101, 8329051, Fax (0251) 8329101
No. Revisi : 01 Hal: 15/7 Tanggal Berlaku : 1 Februari 2010
PEMILIHAN MINAT BIDANG KAJIAN PKL*)
PROGRAM KEAHLIAN …………………………………..
TAHUN AKADEMIK 20.../20...

Nama : ............................................................
NIM : ........................

Usulan Minat Bidang Kajian**) :


1. .......................................................
2. .......................................................
3. .......................................................

Usulan Lokasi PKL :


Nama Perusahaan/Instansi : ...............................................................................
...............................................................................

Alamat Lengkap : ...............................................................................


...............................................................................
...............................................................................
Nama Pimpinan Perusahaan/Instansi : ...............................................................................

Contact Person/Telepon/HP/E-mail : ...............................................................................


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

Bogor, ____________________
Mahasiswa,

(__________________________)
Keterangan
*) Dikumpulkan paling lambat Tgl ................... FRM/DPD/PKL/008
**) Urutan berdasarkan prioritas
KEMENTERIAN PENDIDIKAN DAN KEBUDAYAAN
INSTITUT PERTANIAN BOGOR
SEKOLAH VOKASI
Kampus IPB Cilibende, Jl. Kumbang No.14 Bogor 16151
Telp. (0251) 8329101, 8329051, Fax (0251) 8329101

Nama Instansi : …………………………………………………….......................………………


DAFTAR KEHADIRAN TUGAS AKHIR
Alamat : …………………………………………………………….........……..............…
…………………………………………………….........………………..............
…………………………………………………….........………………..............

Periode Kegiatan (Minggu 10) : 06 – 12 April 2020 FRM/DPD/PKL/011


DEPARTEMEN PENDIDIKAN NASIONAL
Hari / Tanggal
INSTITUT PERTANIAN BOGOR
No. Nama Mahasiswa / NIM
DIREKTORATSenin
PROGRAM DIPLOMA
Selasa Rabu Kamis Jumat Sabtu Ahad
Kampus IPB Cilibende, Jl. Kumbang No.14 Bogor 16151
Telp. (0251) 8329101, 8329051, Fax (0251) 8329101
No. Revisi : 01 Hal: 16/7 Tanggal Berlaku : 1 Februari 2010
PEMILIHAN MINAT BIDANG KAJIAN PKL*)
PROGRAM KEAHLIAN …………………………………..
TAHUN AKADEMIK 20.../20...

Nama : ............................................................
NIM : ........................

Usulan Minat Bidang Kajian**) :


1. .......................................................
2. .......................................................
3. .......................................................

Usulan Lokasi PKL :


Nama Perusahaan/Instansi : ...............................................................................
...............................................................................

Alamat Lengkap : ...............................................................................


...............................................................................
...............................................................................
Nama Pimpinan Perusahaan/Instansi : ...............................................................................

Contact Person/Telepon/HP/E-mail : ...............................................................................


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

Bogor, ____________________
Mahasiswa,

(__________________________)
Keterangan
*) Dikumpulkan paling lambat Tgl ................... FRM/DPD/PKL/008
**) Urutan berdasarkan prioritas
KEMENTERIAN PENDIDIKAN DAN KEBUDAYAAN
INSTITUT PERTANIAN BOGOR
SEKOLAH VOKASI
Kampus IPB Cilibende, Jl. Kumbang No.14 Bogor 16151
Telp. (0251) 8329101, 8329051, Fax (0251) 8329101

DAFTAR KEHADIRAN
06 07 TUGAS
08 AKHIR
09 10 11 12

Paraf Pembimbing Lapang


FRM/DPD/PKL/011
DEPARTEMEN PENDIDIKAN NASIONAL
Periode Kegiatan (Minggu 11) INSTITUT
: 13 – 19 April 2020
PERTANIAN BOGOR
DIREKTORAT PROGRAM DIPLOMA
No. Nama Mahasiswa / NIM Hari / Tanggal
Kampus IPB Cilibende, Jl. Kumbang No.14 Bogor 16151
Telp. (0251) 8329101, 8329051, Fax (0251) 8329101
No. Revisi : 01 Hal: 17/7 Tanggal Berlaku : 1 Februari 2010
PEMILIHAN MINAT BIDANG KAJIAN PKL*)
PROGRAM KEAHLIAN …………………………………..
TAHUN AKADEMIK 20.../20...

Nama : ............................................................
NIM : ........................

Usulan Minat Bidang Kajian**) :


1. .......................................................
2. .......................................................
3. .......................................................

Usulan Lokasi PKL :


Nama Perusahaan/Instansi : ...............................................................................
...............................................................................

Alamat Lengkap : ...............................................................................


...............................................................................
...............................................................................
Nama Pimpinan Perusahaan/Instansi : ...............................................................................

Contact Person/Telepon/HP/E-mail : ...............................................................................


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

Bogor, ____________________
Mahasiswa,

(__________________________)
Keterangan
*) Dikumpulkan paling lambat Tgl ................... FRM/DPD/PKL/008
**) Urutan berdasarkan prioritas
KEMENTERIAN PENDIDIKAN DAN KEBUDAYAAN
INSTITUT PERTANIAN BOGOR
SEKOLAH VOKASI
Kampus IPB Cilibende, Jl. Kumbang No.14 Bogor 16151
Telp. (0251) 8329101, 8329051, Fax (0251) 8329101

DAFTAR KEHADIRAN TUGAS


Senin Selasa AKHIR
Rabu Kamis Jumat Sabtu Ahad

13 14 15 16 17 18 19

FRM/DPD/PKL/011
Paraf Pembimbing Lapang
DEPARTEMEN PENDIDIKAN NASIONAL
INSTITUT PERTANIAN BOGOR
DIREKTORAT PROGRAM DIPLOMA
Periode Kegiatan (Minggu
Kampus 12) : 20
IPB – 26 April
Cilibende, Jl.2020
Kumbang No.14 Bogor 16151
Telp. (0251) 8329101, 8329051, Fax (0251) 8329101
No. Revisi : 01 Hal: 18/7 Tanggal Berlaku : 1 Februari 2010
PEMILIHAN MINAT BIDANG KAJIAN PKL*)
PROGRAM KEAHLIAN …………………………………..
TAHUN AKADEMIK 20.../20...

Nama : ............................................................
NIM : ........................

Usulan Minat Bidang Kajian**) :


1. .......................................................
2. .......................................................
3. .......................................................

Usulan Lokasi PKL :


Nama Perusahaan/Instansi : ...............................................................................
...............................................................................

Alamat Lengkap : ...............................................................................


...............................................................................
...............................................................................
Nama Pimpinan Perusahaan/Instansi : ...............................................................................

Contact Person/Telepon/HP/E-mail : ...............................................................................


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

Bogor, ____________________
Mahasiswa,

(__________________________)
Keterangan
*) Dikumpulkan paling lambat Tgl ................... FRM/DPD/PKL/008
**) Urutan berdasarkan prioritas
KEMENTERIAN PENDIDIKAN DAN KEBUDAYAAN
INSTITUT PERTANIAN BOGOR
SEKOLAH VOKASI
Kampus IPB Cilibende, Jl. Kumbang No.14 Bogor 16151
Telp. (0251) 8329101, 8329051, Fax (0251) 8329101

DAFTAR KEHADIRAN TUGAS AKHIR


Hari / Tanggal

No. Nama Mahasiswa / NIM Senin Selasa Rabu Kamis Jumat Sabtu Ahad

20 21 22 23 24 25 26

1 FRM/DPD/PKL/011
DEPARTEMEN PENDIDIKAN NASIONAL
INSTITUT PERTANIAN BOGOR
Paraf Pembimbing Lapang
DIREKTORAT PROGRAM DIPLOMA
Kampus IPB Cilibende, Jl. Kumbang No.14 Bogor 16151
Telp. (0251) 8329101, 8329051, Fax (0251) 8329101
No. Revisi : 01 Hal: 19/7 Tanggal Berlaku : 1 Februari 2010
PEMILIHAN MINAT BIDANG KAJIAN PKL*)
PROGRAM KEAHLIAN …………………………………..
TAHUN AKADEMIK 20.../20...

Nama : ............................................................
NIM : ........................

Usulan Minat Bidang Kajian**) :


1. .......................................................
2. .......................................................
3. .......................................................

Usulan Lokasi PKL :


Nama Perusahaan/Instansi : ...............................................................................
...............................................................................

Alamat Lengkap : ...............................................................................


...............................................................................
...............................................................................
Nama Pimpinan Perusahaan/Instansi : ...............................................................................

Contact Person/Telepon/HP/E-mail : ...............................................................................


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

Bogor, ____________________
Mahasiswa,

(__________________________)
Keterangan
*) Dikumpulkan paling lambat Tgl ................... FRM/DPD/PKL/008
**) Urutan berdasarkan prioritas
KEMENTERIAN PENDIDIKAN DAN KEBUDAYAAN
INSTITUT PERTANIAN BOGOR
SEKOLAH VOKASI
Kampus IPB Cilibende, Jl. Kumbang No.14 Bogor 16151
Telp. (0251) 8329101, 8329051, Fax (0251) 8329101

DAFTAR KEHADIRAN TUGAS AKHIR

FRM/DPD/PKL/011
DEPARTEMEN PENDIDIKAN NASIONAL
INSTITUT PERTANIAN BOGOR
DIREKTORAT PROGRAM DIPLOMA
Kampus IPB Cilibende, Jl. Kumbang No.14 Bogor 16151
Telp. (0251) 8329101, 8329051, Fax (0251) 8329101
No. Revisi : 01 Hal: 20/7 Tanggal Berlaku : 1 Februari 2010
PEMILIHAN MINAT BIDANG KAJIAN PKL*)
PROGRAM KEAHLIAN …………………………………..
TAHUN AKADEMIK 20.../20...

Nama : ............................................................
NIM : ........................

Usulan Minat Bidang Kajian**) :


1. .......................................................
2. .......................................................
3. .......................................................

Usulan Lokasi PKL :


Nama Perusahaan/Instansi : ...............................................................................
...............................................................................

Alamat Lengkap : ...............................................................................


...............................................................................
...............................................................................
Nama Pimpinan Perusahaan/Instansi : ...............................................................................

Contact Person/Telepon/HP/E-mail : ...............................................................................


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

Bogor, ____________________
Mahasiswa,

(__________________________)
Keterangan
*) Dikumpulkan paling lambat Tgl ................... FRM/DPD/PKL/008
**) Urutan berdasarkan prioritas
KEMENTERIAN PENDIDIKAN DAN KEBUDAYAAN
INSTITUT PERTANIAN BOGOR
SEKOLAH VOKASI
Kampus IPB Cilibende, Jl. Kumbang No.14 Bogor 16151
Telp. (0251) 8329101, 8329051, Fax (0251) 8329101

Nama Instansi : …………………………………………………….......................………………


DAFTAR KEHADIRAN TUGAS AKHIR
Alamat : …………………………………………………………….........……..............…
…………………………………………………….........………………..............
…………………………………………………….........………………..............

Periode Kegiatan (Minggu 13) : 27 April – 03 Mei 2020 FRM/DPD/PKL/011


DEPARTEMEN PENDIDIKAN NASIONAL
Hari / Tanggal
INSTITUT PERTANIAN BOGOR
No. Nama Mahasiswa / NIM
DIREKTORATSenin
PROGRAM DIPLOMA
Selasa Rabu Kamis Jumat Sabtu Ahad
Kampus IPB Cilibende, Jl. Kumbang No.14 Bogor 16151
Telp. (0251) 8329101, 8329051, Fax (0251) 8329101
No. Revisi : 01 Hal: 21/7 Tanggal Berlaku : 1 Februari 2010
PEMILIHAN MINAT BIDANG KAJIAN PKL*)
PROGRAM KEAHLIAN …………………………………..
TAHUN AKADEMIK 20.../20...

Nama : ............................................................
NIM : ........................

Usulan Minat Bidang Kajian**) :


1. .......................................................
2. .......................................................
3. .......................................................

Usulan Lokasi PKL :


Nama Perusahaan/Instansi : ...............................................................................
...............................................................................

Alamat Lengkap : ...............................................................................


...............................................................................
...............................................................................
Nama Pimpinan Perusahaan/Instansi : ...............................................................................

Contact Person/Telepon/HP/E-mail : ...............................................................................


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

Bogor, ____________________
Mahasiswa,

(__________________________)
Keterangan
*) Dikumpulkan paling lambat Tgl ................... FRM/DPD/PKL/008
**) Urutan berdasarkan prioritas
KEMENTERIAN PENDIDIKAN DAN KEBUDAYAAN
INSTITUT PERTANIAN BOGOR
SEKOLAH VOKASI
Kampus IPB Cilibende, Jl. Kumbang No.14 Bogor 16151
Telp. (0251) 8329101, 8329051, Fax (0251) 8329101

DAFTAR KEHADIRAN
27 28 TUGAS
29 AKHIR
30 01 02 03

Paraf Pembimbing Lapang


FRM/DPD/PKL/011
DEPARTEMEN PENDIDIKAN NASIONAL
Periode Kegiatan (Minggu 14) INSTITUT
: 04 – 10 Mei 2020
PERTANIAN BOGOR
DIREKTORAT PROGRAM DIPLOMA
No. Nama Mahasiswa / NIM Hari / Tanggal
Kampus IPB Cilibende, Jl. Kumbang No.14 Bogor 16151
Telp. (0251) 8329101, 8329051, Fax (0251) 8329101
No. Revisi : 01 Hal: 22/7 Tanggal Berlaku : 1 Februari 2010
PEMILIHAN MINAT BIDANG KAJIAN PKL*)
PROGRAM KEAHLIAN …………………………………..
TAHUN AKADEMIK 20.../20...

Nama : ............................................................
NIM : ........................

Usulan Minat Bidang Kajian**) :


1. .......................................................
2. .......................................................
3. .......................................................

Usulan Lokasi PKL :


Nama Perusahaan/Instansi : ...............................................................................
...............................................................................

Alamat Lengkap : ...............................................................................


...............................................................................
...............................................................................
Nama Pimpinan Perusahaan/Instansi : ...............................................................................

Contact Person/Telepon/HP/E-mail : ...............................................................................


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

Bogor, ____________________
Mahasiswa,

(__________________________)
Keterangan
*) Dikumpulkan paling lambat Tgl ................... FRM/DPD/PKL/008
**) Urutan berdasarkan prioritas
KEMENTERIAN PENDIDIKAN DAN KEBUDAYAAN
INSTITUT PERTANIAN BOGOR
SEKOLAH VOKASI
Kampus IPB Cilibende, Jl. Kumbang No.14 Bogor 16151
Telp. (0251) 8329101, 8329051, Fax (0251) 8329101

DAFTAR KEHADIRAN TUGAS


Senin Selasa AKHIR
Rabu Kamis Jumat Sabtu Ahad

04 05 06 07 08 09 10

FRM/DPD/PKL/011
Paraf Pembimbing Lapang
DEPARTEMEN PENDIDIKAN NASIONAL
INSTITUT PERTANIAN BOGOR
DIREKTORAT PROGRAM DIPLOMA
Periode Kegiatan (Minggu 15) : 11 – 17 Mei 2020
Kampus IPB Cilibende, Jl. Kumbang No.14 Bogor 16151
Telp. (0251) 8329101, 8329051, Fax (0251) 8329101
No. Revisi : 01 Hal: 23/7 Tanggal Berlaku : 1 Februari 2010
PEMILIHAN MINAT BIDANG KAJIAN PKL*)
PROGRAM KEAHLIAN …………………………………..
TAHUN AKADEMIK 20.../20...

Nama : ............................................................
NIM : ........................

Usulan Minat Bidang Kajian**) :


1. .......................................................
2. .......................................................
3. .......................................................

Usulan Lokasi PKL :


Nama Perusahaan/Instansi : ...............................................................................
...............................................................................

Alamat Lengkap : ...............................................................................


...............................................................................
...............................................................................
Nama Pimpinan Perusahaan/Instansi : ...............................................................................

Contact Person/Telepon/HP/E-mail : ...............................................................................


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

Bogor, ____________________
Mahasiswa,

(__________________________)
Keterangan
*) Dikumpulkan paling lambat Tgl ................... FRM/DPD/PKL/008
**) Urutan berdasarkan prioritas
KEMENTERIAN PENDIDIKAN DAN KEBUDAYAAN
INSTITUT PERTANIAN BOGOR
SEKOLAH VOKASI
Kampus IPB Cilibende, Jl. Kumbang No.14 Bogor 16151
Telp. (0251) 8329101, 8329051, Fax (0251) 8329101

DAFTAR KEHADIRAN TUGAS AKHIR


Hari / Tanggal

No. Nama Mahasiswa / NIM Senin Selasa Rabu Kamis Jumat Sabtu Ahad

11 12 13 14 15 16 17

1 FRM/DPD/PKL/011
DEPARTEMEN PENDIDIKAN NASIONAL
INSTITUT PERTANIAN BOGOR
Paraf Pembimbing Lapang
DIREKTORAT PROGRAM DIPLOMA
Kampus IPB Cilibende, Jl. Kumbang No.14 Bogor 16151
Telp. (0251) 8329101, 8329051, Fax (0251) 8329101
No. Revisi : 01 Hal: 24/7 Tanggal Berlaku : 1 Februari 2010
PEMILIHAN MINAT BIDANG KAJIAN PKL*)
PROGRAM KEAHLIAN …………………………………..
TAHUN AKADEMIK 20.../20...

Nama : ............................................................
NIM : ........................

Usulan Minat Bidang Kajian**) :


1. .......................................................
2. .......................................................
3. .......................................................

Usulan Lokasi PKL :


Nama Perusahaan/Instansi : ...............................................................................
...............................................................................

Alamat Lengkap : ...............................................................................


...............................................................................
...............................................................................
Nama Pimpinan Perusahaan/Instansi : ...............................................................................

Contact Person/Telepon/HP/E-mail : ...............................................................................


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

Bogor, ____________________
Mahasiswa,

(__________________________)
Keterangan
*) Dikumpulkan paling lambat Tgl ................... FRM/DPD/PKL/008
**) Urutan berdasarkan prioritas
KEMENTERIAN PENDIDIKAN DAN KEBUDAYAAN
INSTITUT PERTANIAN BOGOR
SEKOLAH VOKASI
Kampus IPB Cilibende, Jl. Kumbang No.14 Bogor 16151
Telp. (0251) 8329101, 8329051, Fax (0251) 8329101

DAFTAR KEHADIRAN TUGAS AKHIR

FRM/DPD/PKL/011
DEPARTEMEN PENDIDIKAN NASIONAL
INSTITUT PERTANIAN BOGOR
DIREKTORAT PROGRAM DIPLOMA
Kampus IPB Cilibende, Jl. Kumbang No.14 Bogor 16151
Telp. (0251) 8329101, 8329051, Fax (0251) 8329101
No. Revisi : 01 Hal: 25/7 Tanggal Berlaku : 1 Februari 2010
PEMILIHAN MINAT BIDANG KAJIAN PKL*)
PROGRAM KEAHLIAN …………………………………..
TAHUN AKADEMIK 20.../20...

Nama : ............................................................
NIM : ........................

Usulan Minat Bidang Kajian**) :


1. .......................................................
2. .......................................................
3. .......................................................

Usulan Lokasi PKL :


Nama Perusahaan/Instansi : ...............................................................................
...............................................................................

Alamat Lengkap : ...............................................................................


...............................................................................
...............................................................................
Nama Pimpinan Perusahaan/Instansi : ...............................................................................

Contact Person/Telepon/HP/E-mail : ...............................................................................


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

Bogor, ____________________
Mahasiswa,

(__________________________)
Keterangan
*) Dikumpulkan paling lambat Tgl ................... FRM/DPD/PKL/008
**) Urutan berdasarkan prioritas
KEMENTERIAN PENDIDIKAN DAN KEBUDAYAAN
INSTITUT PERTANIAN BOGOR
SEKOLAH VOKASI
Kampus IPB Cilibende, Jl. Kumbang No.14 Bogor 16151
Telp. (0251) 8329101, 8329051, Fax (0251) 8329101

Nama Instansi : …………………………………………………….......................………………


DAFTAR KEHADIRAN TUGAS AKHIR
Alamat : …………………………………………………………….........……..............…
…………………………………………………….........………………..............
…………………………………………………….........………………..............

Periode Kegiatan (Minggu 16) : 18 – 24 Mei 2020 FRM/DPD/PKL/011


DEPARTEMEN PENDIDIKAN NASIONAL
Hari / Tanggal
INSTITUT PERTANIAN BOGOR
No. Nama Mahasiswa / NIM
DIREKTORATSenin
PROGRAM DIPLOMA
Selasa Rabu Kamis Jumat Sabtu Ahad
Kampus IPB Cilibende, Jl. Kumbang No.14 Bogor 16151
Telp. (0251) 8329101, 8329051, Fax (0251) 8329101
No. Revisi : 01 Hal: 26/7 Tanggal Berlaku : 1 Februari 2010
PEMILIHAN MINAT BIDANG KAJIAN PKL*)
PROGRAM KEAHLIAN …………………………………..
TAHUN AKADEMIK 20.../20...

Nama : ............................................................
NIM : ........................

Usulan Minat Bidang Kajian**) :


1. .......................................................
2. .......................................................
3. .......................................................

Usulan Lokasi PKL :


Nama Perusahaan/Instansi : ...............................................................................
...............................................................................

Alamat Lengkap : ...............................................................................


...............................................................................
...............................................................................
Nama Pimpinan Perusahaan/Instansi : ...............................................................................

Contact Person/Telepon/HP/E-mail : ...............................................................................


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

Bogor, ____________________
Mahasiswa,

(__________________________)
Keterangan
*) Dikumpulkan paling lambat Tgl ................... FRM/DPD/PKL/008
**) Urutan berdasarkan prioritas
KEMENTERIAN PENDIDIKAN DAN KEBUDAYAAN
INSTITUT PERTANIAN BOGOR
SEKOLAH VOKASI
Kampus IPB Cilibende, Jl. Kumbang No.14 Bogor 16151
Telp. (0251) 8329101, 8329051, Fax (0251) 8329101

DAFTAR KEHADIRAN
18 19 TUGAS
20 AKHIR
21 22 23 24

Paraf Pembimbing Lapang


FRM/DPD/PKL/011
DEPARTEMEN PENDIDIKAN NASIONAL
Periode Kegiatan (Minggu 17) INSTITUT
: 25 – 31 Mei 2020
PERTANIAN BOGOR
DIREKTORAT PROGRAM DIPLOMA
No. Nama Mahasiswa / NIM Hari / Tanggal
Kampus IPB Cilibende, Jl. Kumbang No.14 Bogor 16151
Telp. (0251) 8329101, 8329051, Fax (0251) 8329101
No. Revisi : 01 Hal: 27/7 Tanggal Berlaku : 1 Februari 2010
PEMILIHAN MINAT BIDANG KAJIAN PKL*)
PROGRAM KEAHLIAN …………………………………..
TAHUN AKADEMIK 20.../20...

Nama : ............................................................
NIM : ........................

Usulan Minat Bidang Kajian**) :


1. .......................................................
2. .......................................................
3. .......................................................

Usulan Lokasi PKL :


Nama Perusahaan/Instansi : ...............................................................................
...............................................................................

Alamat Lengkap : ...............................................................................


...............................................................................
...............................................................................
Nama Pimpinan Perusahaan/Instansi : ...............................................................................

Contact Person/Telepon/HP/E-mail : ...............................................................................


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

Bogor, ____________________
Mahasiswa,

(__________________________)
Keterangan
*) Dikumpulkan paling lambat Tgl ................... FRM/DPD/PKL/008
**) Urutan berdasarkan prioritas
KEMENTERIAN PENDIDIKAN DAN KEBUDAYAAN
INSTITUT PERTANIAN BOGOR
SEKOLAH VOKASI
Kampus IPB Cilibende, Jl. Kumbang No.14 Bogor 16151
Telp. (0251) 8329101, 8329051, Fax (0251) 8329101

DAFTAR KEHADIRAN TUGAS


Senin Selasa AKHIR
Rabu Kamis Jumat Sabtu Ahad

25 26 27 28 29 30 31

FRM/DPD/PKL/011
Paraf Pembimbing Lapang
DEPARTEMEN PENDIDIKAN NASIONAL
INSTITUT PERTANIAN BOGOR
DIREKTORAT PROGRAM DIPLOMA
Periode Kegiatan (Minggu 18) : 01 – 07 Juni 2020
Kampus IPB Cilibende, Jl. Kumbang No.14 Bogor 16151
Telp. (0251) 8329101, 8329051, Fax (0251) 8329101
No. Revisi : 01 Hal: 28/7 Tanggal Berlaku : 1 Februari 2010
PEMILIHAN MINAT BIDANG KAJIAN PKL*)
PROGRAM KEAHLIAN …………………………………..
TAHUN AKADEMIK 20.../20...

Nama : ............................................................
NIM : ........................

Usulan Minat Bidang Kajian**) :


1. .......................................................
2. .......................................................
3. .......................................................

Usulan Lokasi PKL :


Nama Perusahaan/Instansi : ...............................................................................
...............................................................................

Alamat Lengkap : ...............................................................................


...............................................................................
...............................................................................
Nama Pimpinan Perusahaan/Instansi : ...............................................................................

Contact Person/Telepon/HP/E-mail : ...............................................................................


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

Bogor, ____________________
Mahasiswa,

(__________________________)
Keterangan
*) Dikumpulkan paling lambat Tgl ................... FRM/DPD/PKL/008
**) Urutan berdasarkan prioritas
KEMENTERIAN PENDIDIKAN DAN KEBUDAYAAN
INSTITUT PERTANIAN BOGOR
SEKOLAH VOKASI
Kampus IPB Cilibende, Jl. Kumbang No.14 Bogor 16151
Telp. (0251) 8329101, 8329051, Fax (0251) 8329101

DAFTAR KEHADIRAN TUGAS AKHIR


Hari / Tanggal

No. Nama Mahasiswa / NIM Senin Selasa Rabu Kamis Jumat Sabtu Ahad

01 02 03 04 05 06 07

1 FRM/DPD/PKL/011
DEPARTEMEN PENDIDIKAN NASIONAL
INSTITUT PERTANIAN BOGOR
Paraf Pembimbing Lapang
DIREKTORAT PROGRAM DIPLOMA
Kampus IPB Cilibende, Jl. Kumbang No.14 Bogor 16151
Telp. (0251) 8329101, 8329051, Fax (0251) 8329101
No. Revisi : 01 Hal: 29/7 Tanggal Berlaku : 1 Februari 2010
PEMILIHAN MINAT BIDANG KAJIAN PKL*)
PROGRAM KEAHLIAN …………………………………..
TAHUN AKADEMIK 20.../20...

Nama : ............................................................
NIM : ........................

Usulan Minat Bidang Kajian**) :


1. .......................................................
2. .......................................................
3. .......................................................

Usulan Lokasi PKL :


Nama Perusahaan/Instansi : ...............................................................................
...............................................................................

Alamat Lengkap : ...............................................................................


...............................................................................
...............................................................................
Nama Pimpinan Perusahaan/Instansi : ...............................................................................

Contact Person/Telepon/HP/E-mail : ...............................................................................


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

Bogor, ____________________
Mahasiswa,

(__________________________)
Keterangan
*) Dikumpulkan paling lambat Tgl ................... FRM/DPD/PKL/008
**) Urutan berdasarkan prioritas
KEMENTERIAN PENDIDIKAN DAN KEBUDAYAAN
INSTITUT PERTANIAN BOGOR
SEKOLAH VOKASI
Kampus IPB Cilibende, Jl. Kumbang No.14 Bogor 16151
Telp. (0251) 8329101, 8329051, Fax (0251) 8329101

DAFTAR KEHADIRAN TUGAS AKHIR

FRM/DPD/PKL/011
DEPARTEMEN PENDIDIKAN NASIONAL
INSTITUT PERTANIAN BOGOR
DIREKTORAT PROGRAM DIPLOMA
Kampus IPB Cilibende, Jl. Kumbang No.14 Bogor 16151
Telp. (0251) 8329101, 8329051, Fax (0251) 8329101
No. Revisi : 01 Hal: 30/7 Tanggal Berlaku : 1 Februari 2010
PEMILIHAN MINAT BIDANG KAJIAN PKL*)
PROGRAM KEAHLIAN …………………………………..
TAHUN AKADEMIK 20.../20...

Nama : ............................................................
NIM : ........................

Usulan Minat Bidang Kajian**) :


1. .......................................................
2. .......................................................
3. .......................................................

Usulan Lokasi PKL :


Nama Perusahaan/Instansi : ...............................................................................
...............................................................................

Alamat Lengkap : ...............................................................................


...............................................................................
...............................................................................
Nama Pimpinan Perusahaan/Instansi : ...............................................................................

Contact Person/Telepon/HP/E-mail : ...............................................................................


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

Bogor, ____________________
Mahasiswa,

(__________________________)
Keterangan
*) Dikumpulkan paling lambat Tgl ................... FRM/DPD/PKL/008
**) Urutan berdasarkan prioritas
KEMENTERIAN PENDIDIKAN DAN KEBUDAYAAN
INSTITUT PERTANIAN BOGOR
SEKOLAH VOKASI
Kampus IPB Cilibende, Jl. Kumbang No.14 Bogor 16151
Telp. (0251) 8329101, 8329051, Fax (0251) 8329101

Nama Instansi : …………………………………………………….......................………………


DAFTAR KEHADIRAN TUGAS AKHIR
Alamat : …………………………………………………………….........……..............…
…………………………………………………….........………………..............
…………………………………………………….........………………..............

Periode Kegiatan (Minggu 19) : 08 – 14 Juni 2020 FRM/DPD/PKL/011


DEPARTEMEN PENDIDIKAN NASIONAL
Hari / Tanggal
INSTITUT PERTANIAN BOGOR
No. Nama Mahasiswa / NIM
DIREKTORATSenin
PROGRAM DIPLOMA
Selasa Rabu Kamis Jumat Sabtu Ahad
Kampus IPB Cilibende, Jl. Kumbang No.14 Bogor 16151
Telp. (0251) 8329101, 8329051, Fax (0251) 8329101
No. Revisi : 01 Hal: 31/7 Tanggal Berlaku : 1 Februari 2010
PEMILIHAN MINAT BIDANG KAJIAN PKL*)
PROGRAM KEAHLIAN …………………………………..
TAHUN AKADEMIK 20.../20...

Nama : ............................................................
NIM : ........................

Usulan Minat Bidang Kajian**) :


1. .......................................................
2. .......................................................
3. .......................................................

Usulan Lokasi PKL :


Nama Perusahaan/Instansi : ...............................................................................
...............................................................................

Alamat Lengkap : ...............................................................................


...............................................................................
...............................................................................
Nama Pimpinan Perusahaan/Instansi : ...............................................................................

Contact Person/Telepon/HP/E-mail : ...............................................................................


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

Bogor, ____________________
Mahasiswa,

(__________________________)
Keterangan
*) Dikumpulkan paling lambat Tgl ................... FRM/DPD/PKL/008
**) Urutan berdasarkan prioritas
KEMENTERIAN PENDIDIKAN DAN KEBUDAYAAN
INSTITUT PERTANIAN BOGOR
SEKOLAH VOKASI
Kampus IPB Cilibende, Jl. Kumbang No.14 Bogor 16151
Telp. (0251) 8329101, 8329051, Fax (0251) 8329101

DAFTAR KEHADIRAN
08 09 TUGAS
10 AKHIR
11 12 13 14

Paraf Pembimbing Lapang


FRM/DPD/PKL/011
DEPARTEMEN PENDIDIKAN NASIONAL
Periode Kegiatan (Minggu 20) INSTITUT
: 15 – 21 Juni 2020
PERTANIAN BOGOR
DIREKTORAT PROGRAM DIPLOMA
No. Nama Mahasiswa / NIM Hari / Tanggal
Kampus IPB Cilibende, Jl. Kumbang No.14 Bogor 16151
Telp. (0251) 8329101, 8329051, Fax (0251) 8329101
No. Revisi : 01 Hal: 32/7 Tanggal Berlaku : 1 Februari 2010
PEMILIHAN MINAT BIDANG KAJIAN PKL*)
PROGRAM KEAHLIAN …………………………………..
TAHUN AKADEMIK 20.../20...

Nama : ............................................................
NIM : ........................

Usulan Minat Bidang Kajian**) :


1. .......................................................
2. .......................................................
3. .......................................................

Usulan Lokasi PKL :


Nama Perusahaan/Instansi : ...............................................................................
...............................................................................

Alamat Lengkap : ...............................................................................


...............................................................................
...............................................................................
Nama Pimpinan Perusahaan/Instansi : ...............................................................................

Contact Person/Telepon/HP/E-mail : ...............................................................................


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

Bogor, ____________________
Mahasiswa,

(__________________________)
Keterangan
*) Dikumpulkan paling lambat Tgl ................... FRM/DPD/PKL/008
**) Urutan berdasarkan prioritas
KEMENTERIAN PENDIDIKAN DAN KEBUDAYAAN
INSTITUT PERTANIAN BOGOR
SEKOLAH VOKASI
Kampus IPB Cilibende, Jl. Kumbang No.14 Bogor 16151
Telp. (0251) 8329101, 8329051, Fax (0251) 8329101

DAFTAR KEHADIRAN TUGAS


Senin Selasa AKHIR
Rabu Kamis Jumat Sabtu Ahad

10 11 12 13 14 15 16

FRM/DPD/PKL/011
Paraf Pembimbing Lapang
DEPARTEMEN PENDIDIKAN NASIONAL
INSTITUT PERTANIAN BOGOR
DIREKTORAT PROGRAM DIPLOMA
______________, _____________________
Kampus IPB Cilibende, Jl. Kumbang No.14 Bogor 16151
Mengetahui,
Telp. (0251) 8329101, 8329051, Fax (0251) 8329101
No. Revisi : 01 Hal: 33/7 Tanggal Berlaku : 1 Februari 2010
PEMILIHAN MINAT BIDANG KAJIAN PKL*)
PROGRAM KEAHLIAN …………………………………..
TAHUN AKADEMIK 20.../20...

Nama : ............................................................
NIM : ........................

Usulan Minat Bidang Kajian**) :


1. .......................................................
2. .......................................................
3. .......................................................

Usulan Lokasi PKL :


Nama Perusahaan/Instansi : ...............................................................................
...............................................................................

Alamat Lengkap : ...............................................................................


...............................................................................
...............................................................................
Nama Pimpinan Perusahaan/Instansi : ...............................................................................

Contact Person/Telepon/HP/E-mail : ...............................................................................


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

Bogor, ____________________
Mahasiswa,

(__________________________)
Keterangan
*) Dikumpulkan paling lambat Tgl ................... FRM/DPD/PKL/008
**) Urutan berdasarkan prioritas
KEMENTERIAN PENDIDIKAN DAN KEBUDAYAAN
INSTITUT PERTANIAN BOGOR
SEKOLAH VOKASI
Kampus IPB Cilibende, Jl. Kumbang No.14 Bogor 16151
Telp. (0251) 8329101, 8329051, Fax (0251) 8329101

Pembimbing Lapang
DAFTAR KEHADIRAN TUGAS AKHIR

________________________________
(Nama Jelas, Tanda tanganFRM/DPD/PKL/011
dan Stempel)
DEPARTEMEN PENDIDIKAN NASIONAL
Catatan : INSTITUT PERTANIAN BOGOR
- Daftar Kehadiran PKL dapat diperbanyakPROGRAM
DIREKTORAT sesuai denganDIPLOMA
waktu PKL
Kampus IPB Cilibende, Jl. Kumbang No.14 Bogor 16151
Telp. (0251) 8329101, 8329051, Fax (0251) 8329101
No. Revisi : 01 Hal: 34/7 Tanggal Berlaku : 1 Februari 2010
PEMILIHAN MINAT BIDANG KAJIAN PKL*)
PROGRAM KEAHLIAN …………………………………..
TAHUN AKADEMIK 20.../20...

Nama : ............................................................
NIM : ........................

Usulan Minat Bidang Kajian**) :


1. .......................................................
2. .......................................................
3. .......................................................

Usulan Lokasi PKL :


Nama Perusahaan/Instansi : ...............................................................................
...............................................................................

Alamat Lengkap : ...............................................................................


...............................................................................
...............................................................................
Nama Pimpinan Perusahaan/Instansi : ...............................................................................

Contact Person/Telepon/HP/E-mail : ...............................................................................


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

Bogor, ____________________
Mahasiswa,

(__________________________)
Keterangan
*) Dikumpulkan paling lambat Tgl ................... FRM/DPD/PKL/008
**) Urutan berdasarkan prioritas
KEMENTERIAN PENDIDIKAN DAN KEBUDAYAAN
INSTITUT PERTANIAN BOGOR
SEKOLAH VOKASI
Kampus IPB Cilibende, Jl. Kumbang No.14 Bogor 16151
Telp. (0251) 8329101, 8329051, Fax (0251) 8329101

- Daftar Kehadiran PKL diserahkan ke Program Studi maksimal satu minggu setelah PKL
berakhir
DAFTAR KEHADIRAN TUGAS AKHIR

FRM/DPD/PKL/011
DEPARTEMEN PENDIDIKAN NASIONAL
INSTITUT PERTANIAN BOGOR
DIREKTORAT PROGRAM DIPLOMA
Kampus IPB Cilibende, Jl. Kumbang No.14 Bogor 16151
Telp. (0251) 8329101, 8329051, Fax (0251) 8329101
No. Revisi : 01 Hal: 35/7 Tanggal Berlaku : 1 Februari 2010
PEMILIHAN MINAT BIDANG KAJIAN PKL*)
PROGRAM KEAHLIAN …………………………………..
TAHUN AKADEMIK 20.../20...

Nama : ............................................................
NIM : ........................

Usulan Minat Bidang Kajian**) :


1. .......................................................
2. .......................................................
3. .......................................................

Usulan Lokasi PKL :


Nama Perusahaan/Instansi : ...............................................................................
...............................................................................

Alamat Lengkap : ...............................................................................


...............................................................................
...............................................................................
Nama Pimpinan Perusahaan/Instansi : ...............................................................................

Contact Person/Telepon/HP/E-mail : ...............................................................................


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

Bogor, ____________________
Mahasiswa,

(__________________________)