FRM/SV/PKL/012

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

PERSETUJUAN SUBSTANSI KAJIAN

PRAKTIK KERJA LAPANGAN
PROGRAM STUDI EKOWISATA
TAHUN AKADEMIK 2020/2021

FRM/DPD/PKL/011
Nama Instansi : …………………………………………………….........………
DEPARTEMEN PENDIDIKAN NASIONAL
Alamat : INSTITUT PERTANIAN BOGOR
…………………………………………………………….........
DIREKTORAT PROGRAM DIPLOMA
Kampus IPB …………………………………………………….........………
Cilibende, Jl. Kumbang No.14 Bogor 16151
Telp. (0251) 8329101, 8329051, Fax (0251) 8329101
No. Revisi : 0 1/1 Tanggal Berlaku : 9 Oktober 2020
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/SV/PKL/012
KEMENTERIAN
**) Urutan berdasarkan prioritas 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 Lapangan : …………………………………………………….........………

Dengan ini Pembimbing Lapangan PKL menyatakan bahwa telah menyetujui substansi
kajian PKL dari mahasiswa berikut : FRM/DPD/PKL/011
Nama DEPARTEMEN PENDIDIKAN
: Bayu Dimas Aji NASIONAL
INSTITUT PERTANIAN BOGOR
NIM : J3B118025PROGRAM DIPLOMA
DIREKTORAT
Kampus IPB Cilibende, Jl. Kumbang No.14 Bogor 16151
Program Keahlian : Ekowisata
Telp. (0251) 8329101, 8329051, Fax (0251) 8329101
No. Revisi : 0 1/1 Tanggal Berlaku : 9 Oktober 2020
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/SV/PKL/012
KEMENTERIAN
**) Urutan berdasarkan prioritas PENDIDIKAN DAN KEBUDAYAAN
INSTITUT PERTANIAN BOGOR
SEKOLAH VOKASI
Kampus IPB Cilibende, Jl. Kumbang No.14 Bogor 16151
Telp. (0251) 8329101, 8329051, Fax (0251) 8329101

Judul Laporan PKL : Pengelolaan Kawasan Kota Tua Jakarta di Provinsi DKI
Jakarta

FRM/DPD/PKL/011
DEPARTEMEN PENDIDIKAN NASIONAL
______________, _____________________
INSTITUT PERTANIAN BOGOR
Mengetahui,
DIREKTORAT PROGRAM DIPLOMA
Pembimbing Lapang
Kampus IPB Cilibende, Jl. Kumbang No.14 Bogor 16151
Telp. (0251) 8329101, 8329051, Fax (0251) 8329101
No. Revisi : 0 1/1 Tanggal Berlaku : 9 Oktober 2020
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/SV/PKL/012
KEMENTERIAN
**) Urutan berdasarkan prioritas 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 Jelas, Tanda tangan dan Stempel)

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 : 0 1/1 Tanggal Berlaku : 9 Oktober 2020
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/SV/PKL/012
KEMENTERIAN
**) Urutan berdasarkan prioritas PENDIDIKAN DAN KEBUDAYAAN
INSTITUT PERTANIAN BOGOR
SEKOLAH VOKASI
Kampus IPB Cilibende, Jl. Kumbang No.14 Bogor 16151
Telp. (0251) 8329101, 8329051, Fax (0251) 8329101

PERSETUJUAN SUBSTANSI KAJIAN

TUGA AKHIR
PROGRAM STUDI EKOWISATA
TAHUN AKADEMIK 2019/2020

FRM/DPD/PKL/011
Nama Instansi : …………………………………………………….........………
DEPARTEMEN PENDIDIKAN NASIONAL
Alamat : INSTITUT PERTANIAN BOGOR
…………………………………………………………….........
DIREKTORAT PROGRAM DIPLOMA
Kampus IPB …………………………………………………….........………
Cilibende, Jl. Kumbang No.14 Bogor 16151
Telp. (0251) 8329101, 8329051, Fax (0251) 8329101
No. Revisi : 0 1/1 Tanggal Berlaku : 9 Oktober 2020
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/SV/PKL/012
KEMENTERIAN
**) Urutan berdasarkan prioritas 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 Lapangan : …………………………………………………….........………

Dengan ini Pembimbing Lapangan TA menyatakan bahwa telah menyetujui substansi

kajian TA dari mahasiswa berikut : FRM/DPD/PKL/011
Nama DEPARTEMEN PENDIDIKAN
: Bayu Dimas Aji NASIONAL
INSTITUT PERTANIAN BOGOR
NIM : J3B118025PROGRAM DIPLOMA
DIREKTORAT
Kampus IPB Cilibende, Jl. Kumbang No.14 Bogor 16151
Program Keahlian : Ekowisata
Telp. (0251) 8329101, 8329051, Fax (0251) 8329101
No. Revisi : 0 1/1 Tanggal Berlaku : 9 Oktober 2020
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/SV/PKL/012
KEMENTERIAN
**) Urutan berdasarkan prioritas PENDIDIKAN DAN KEBUDAYAAN
INSTITUT PERTANIAN BOGOR
SEKOLAH VOKASI
Kampus IPB Cilibende, Jl. Kumbang No.14 Bogor 16151
Telp. (0251) 8329101, 8329051, Fax (0251) 8329101

Judul Laporan TA : Perencanaan Wisata Khusus Penyandang Disabilitas di

Kota Tua Jakarta Provinsi DKI Jakarta

FRM/DPD/PKL/011
DEPARTEMEN PENDIDIKAN NASIONAL
______________, _____________________
INSTITUT PERTANIAN BOGOR
Mengetahui,
DIREKTORAT PROGRAM DIPLOMA
Pembimbing Lapang
Kampus IPB Cilibende, Jl. Kumbang No.14 Bogor 16151
Telp. (0251) 8329101, 8329051, Fax (0251) 8329101
No. Revisi : 0 1/1 Tanggal Berlaku : 9 Oktober 2020
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/SV/PKL/012
KEMENTERIAN
**) Urutan berdasarkan prioritas 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 Jelas, Tanda tangan dan Stempel)

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 : 0 1/1 Tanggal Berlaku : 9 Oktober 2020
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,

(__________________________)