FRM/SV/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

DAFTAR KEHADIRAN PRAKTIK KERJA LAPANGAN

PROGRAM STUDI EKOWISATA
Nama Instansi : xxxxxxxxxxxxxxxx
Alamat : xxxxxxxxxxxxxxxxxxxxxxxxxxxxx
XXXXXXXXXXXXXXXXXXXXXXXX
Periode Kegiatan (Minggu 1): 15 – 21 Februari 2021
Hari / Tanggal
No. Nama Mahasiswa / NIM Senin Selasa Rabu Kamis Jumat Sabtu Ahad
15 16 17 18 19 20 21

FRM/DPD/PKL/011 X
1 DEPARTEMEN PENDIDIKAN NASIONAL
INSTITUT PERTANIAN BOGOR
DIREKTORAT PROGRAM DIPLOMA
Kampus
Paraf Pembimbing LapangIPB Cilibende, Jl. Kumbang No.14 Bogor 16151
Telp. (0251) 8329101, 8329051, Fax (0251) 8329101
No. Revisi : 0 Hal: 1/7 Tanggal Berlaku : 09 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 : ...............................................................................

...............................................................................
 FRM/SV/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

DAFTAR KEHADIRAN PRAKTIK KERJA LAPANGAN

PROGRAM STUDI EKOWISATA
Nama Instansi : xxxxxxxxxxxxxxxx
Alamat : xxxxxxxxxxxxxxxxxxxxxxxxxxxxx
XXXXXXXXXXXXXXXXXXXXXXXX

Periode Kegiatan (Minggu 2): 22 – 28 Februari 2021

Hari / Tanggal
No. Nama Mahasiswa / NIM Senin Selasa Rabu Kamis Jumat Sabtu Ahad
22 23 24 25 26 27 28
FRM/DPD/PKL/011
DEPARTEMEN PENDIDIKAN NASIONAL X
1 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 Hal: 2/7 Tanggal Berlaku : 09 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 : ...............................................................................

...............................................................................
 FRM/SV/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

DAFTAR KEHADIRAN PRAKTIK KERJA LAPANGAN

PROGRAM STUDI EKOWISATA
Nama Instansi : xxxxxxxxxxxxxxxx
Alamat : xxxxxxxxxxxxxxxxxxxxxxxxxxxxx
XXXXXXXXXXXXXXXXXXXXXXXX

Paraf Pembimbing Lapang

Periode Kegiatan (Minggu 3): 1 – 7 Maret 2021

Hari / Tanggal
No. Nama Mahasiswa / NIM Senin Selasa Rabu Kamis Jumat Sabtu Ahad
FRM/DPD/PKL/011
DEPARTEMEN PENDIDIKAN
1 2 NASIONAL
3 4 5 6 7
INSTITUT PERTANIAN BOGOR
1 DIREKTORAT PROGRAM DIPLOMA X
Kampus IPB Cilibende, Jl. Kumbang No.14 Bogor 16151
Telp. (0251) 8329101, 8329051, Fax (0251) 8329101
No. Revisi : 0 Hal: 3/7 Tanggal Berlaku : 09 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 : ...............................................................................

...............................................................................
 FRM/SV/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

DAFTAR KEHADIRAN PRAKTIK KERJA LAPANGAN

PROGRAM STUDI EKOWISATA
Nama Instansi : xxxxxxxxxxxxxxxx
Alamat : xxxxxxxxxxxxxxxxxxxxxxxxxxxxx
XXXXXXXXXXXXXXXXXXXXXXXX

Paraf Pembimbing Lapang

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 Hal: 4/7 Tanggal Berlaku : 09 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 : ...............................................................................

...............................................................................
 FRM/SV/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

DAFTAR KEHADIRAN PRAKTIK KERJA LAPANGAN

PROGRAM STUDI EKOWISATA
Nama Instansi : xxxxxxxxxxxxxxxx
Alamat : xxxxxxxxxxxxxxxxxxxxxxxxxxxxx
XXXXXXXXXXXXXXXXXXXXXXXX
Periode Kegiatan (Minggu 4): 8 – 14 Maret 2021
Hari / Tanggal
No. Nama Mahasiswa / NIM Senin Selasa Rabu Kamis Jumat Sabtu Ahad
8 9 10 11 12 13 14

X FRM/DPD/PKL/011 X
1 DEPARTEMEN PENDIDIKAN NASIONAL
INSTITUT PERTANIAN BOGOR
DIREKTORAT PROGRAM DIPLOMA
Kampus
Paraf Pembimbing LapangIPB Cilibende, Jl. Kumbang No.14 Bogor 16151
Telp. (0251) 8329101, 8329051, Fax (0251) 8329101
No. Revisi : 0 Hal: 5/7 Tanggal Berlaku : 09 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 : ...............................................................................

...............................................................................
 FRM/SV/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

DAFTAR KEHADIRAN PRAKTIK KERJA LAPANGAN

PROGRAM STUDI EKOWISATA
Nama Instansi : xxxxxxxxxxxxxxxx
Alamat : xxxxxxxxxxxxxxxxxxxxxxxxxxxxx
XXXXXXXXXXXXXXXXXXXXXXXX

Periode Kegiatan (Minggu 5): 15 – 21 Maret 2021

Hari / Tanggal
No. Nama Mahasiswa / NIM Senin Selasa Rabu Kamis Jumat Sabtu Ahad
15 16 17 18 19 20 21
FRM/DPD/PKL/011
DEPARTEMEN PENDIDIKAN NASIONAL X
1 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 Hal: 6/7 Tanggal Berlaku : 09 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 : ...............................................................................

...............................................................................
 FRM/SV/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

DAFTAR KEHADIRAN PRAKTIK KERJA LAPANGAN

PROGRAM STUDI EKOWISATA
Nama Instansi : xxxxxxxxxxxxxxxx
Alamat : xxxxxxxxxxxxxxxxxxxxxxxxxxxxx
XXXXXXXXXXXXXXXXXXXXXXXX

Paraf Pembimbing Lapang

Periode Kegiatan (Minggu 6): 22 – 28 Maret 2021

Hari / Tanggal
No. Nama Mahasiswa / NIM Senin Selasa Rabu Kamis FRM/DPD/PKL/011
Jumat Sabtu Ahad
DEPARTEMEN PENDIDIKAN
22 23 NASIONAL
24 25 26 27 28
INSTITUT PERTANIAN BOGOR
1 DIREKTORAT PROGRAM DIPLOMA
Kampus IPB Cilibende, Jl. Kumbang No.14 Bogor 16151
X
Telp. (0251) 8329101, 8329051, Fax (0251) 8329101
No. Revisi : 0 Hal: 7/7 Tanggal Berlaku : 09 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 : ...............................................................................

...............................................................................
 FRM/SV/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

DAFTAR KEHADIRAN PRAKTIK KERJA LAPANGAN

PROGRAM STUDI EKOWISATA
Nama Instansi : xxxxxxxxxxxxxxxx
Alamat : xxxxxxxxxxxxxxxxxxxxxxxxxxxxx
XXXXXXXXXXXXXXXXXXXXXXXX

Paraf Pembimbing Lapang

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 Hal: 8/7 Tanggal Berlaku : 09 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 : ...............................................................................

...............................................................................
 FRM/SV/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

DAFTAR KEHADIRAN PRAKTIK KERJA LAPANGAN

PROGRAM STUDI EKOWISATA
Nama Instansi : xxxxxxxxxxxxxxxx
Alamat : xxxxxxxxxxxxxxxxxxxxxxxxxxxxx
XXXXXXXXXXXXXXXXXXXXXXXX
Periode Kegiatan (Minggu 7): 29 Maret – 4 April 2021
Hari / Tanggal
No. Nama Mahasiswa / NIM Senin Selasa Rabu Kamis Jumat Sabtu Ahad
29 39 31 1 2 3 4

XFRM/DPD/PKL/011
X
1 DEPARTEMEN PENDIDIKAN NASIONAL
INSTITUT PERTANIAN BOGOR
DIREKTORAT PROGRAM DIPLOMA
Kampus
Paraf Pembimbing LapangIPB Cilibende, Jl. Kumbang No.14 Bogor 16151
Telp. (0251) 8329101, 8329051, Fax (0251) 8329101
No. Revisi : 0 Hal: 9/7 Tanggal Berlaku : 09 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 : ...............................................................................

...............................................................................
 FRM/SV/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

DAFTAR KEHADIRAN PRAKTIK KERJA LAPANGAN

PROGRAM STUDI EKOWISATA
Nama Instansi : xxxxxxxxxxxxxxxx
Alamat : xxxxxxxxxxxxxxxxxxxxxxxxxxxxx
XXXXXXXXXXXXXXXXXXXXXXXX

Periode Kegiatan (Minggu 8): 5 – 11 April 2021

Hari / Tanggal
No. Nama Mahasiswa / NIM Senin Selasa Rabu Kamis Jumat Sabtu Ahad
5 6 7 8 9 10 11
FRM/DPD/PKL/011
DEPARTEMEN PENDIDIKAN NASIONAL X
1 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 Hal: 10/7 Tanggal Berlaku : 09 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 : ...............................................................................

...............................................................................
 FRM/SV/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

DAFTAR KEHADIRAN PRAKTIK KERJA LAPANGAN

PROGRAM STUDI EKOWISATA
Nama Instansi : xxxxxxxxxxxxxxxx
Alamat : xxxxxxxxxxxxxxxxxxxxxxxxxxxxx
XXXXXXXXXXXXXXXXXXXXXXXX

Paraf Pembimbing Lapang

Periode Kegiatan (Minggu 9): 12 – 18 April 2021

Hari / Tanggal
No. Nama Mahasiswa / NIM Senin Selasa Rabu Kamis FRM/DPD/PKL/011
Jumat Sabtu Ahad
DEPARTEMEN PENDIDIKAN
12 13 NASIONAL
14 15 16 17 18
INSTITUT PERTANIAN BOGOR
1 X DIPLOMA
DIREKTORAT PROGRAM
Kampus IPB Cilibende, Jl. Kumbang No.14 Bogor 16151
X
Telp. (0251) 8329101, 8329051, Fax (0251) 8329101
No. Revisi : 0 Hal: 11/7 Tanggal Berlaku : 09 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 : ...............................................................................

...............................................................................
 FRM/SV/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

DAFTAR KEHADIRAN PRAKTIK KERJA LAPANGAN

PROGRAM STUDI EKOWISATA
Nama Instansi : xxxxxxxxxxxxxxxx
Alamat : xxxxxxxxxxxxxxxxxxxxxxxxxxxxx
XXXXXXXXXXXXXXXXXXXXXXXX

Paraf Pembimbing Lapang

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 Hal: 12/7 Tanggal Berlaku : 09 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 : ...............................................................................

...............................................................................
 FRM/SV/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

DAFTAR KEHADIRAN PRAKTIK KERJA LAPANGAN

PROGRAM STUDI EKOWISATA
Nama Instansi : xxxxxxxxxxxxxxxx
Alamat : xxxxxxxxxxxxxxxxxxxxxxxxxxxxx
XXXXXXXXXXXXXXXXXXXXXXXX
Periode Kegiatan (Minggu 10) : 19 – 25 April 2021
Hari / Tanggal
No. Nama Mahasiswa / NIM Senin Selasa Rabu Kamis Jumat Sabtu Ahad
19 20 21 22 23 24 25

FRM/DPD/PKL/011 X
1 DEPARTEMEN PENDIDIKAN NASIONAL
INSTITUT PERTANIAN BOGOR
DIREKTORAT PROGRAM DIPLOMA
Kampus
Paraf Pembimbing LapangIPB Cilibende, Jl. Kumbang No.14 Bogor 16151
Telp. (0251) 8329101, 8329051, Fax (0251) 8329101
No. Revisi : 0 Hal: 13/7 Tanggal Berlaku : 09 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 : ...............................................................................

...............................................................................
 FRM/SV/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

DAFTAR KEHADIRAN PRAKTIK KERJA LAPANGAN

PROGRAM STUDI EKOWISATA
Nama Instansi : xxxxxxxxxxxxxxxx
Alamat : xxxxxxxxxxxxxxxxxxxxxxxxxxxxx
XXXXXXXXXXXXXXXXXXXXXXXX

Periode Kegiatan (Minggu 11) : 26 April – 2 Mei 2020

Hari / Tanggal
No. Nama Mahasiswa / NIM Senin Selasa Rabu Kamis Jumat Sabtu Ahad
26 27 28 29 30 1 2
FRM/DPD/PKL/011
DEPARTEMEN PENDIDIKAN NASIONAL X X
1 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 Hal: 14/7 Tanggal Berlaku : 09 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 : ...............................................................................

...............................................................................
 FRM/SV/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

DAFTAR KEHADIRAN PRAKTIK KERJA LAPANGAN

PROGRAM STUDI EKOWISATA
Nama Instansi : xxxxxxxxxxxxxxxx
Alamat : xxxxxxxxxxxxxxxxxxxxxxxxxxxxx
XXXXXXXXXXXXXXXXXXXXXXXX

Paraf Pembimbing Lapang

Periode Kegiatan (Minggu 12) : 3 – 9 Mei 2021

Hari / Tanggal
No. Nama Mahasiswa / NIM Senin Selasa Rabu Kamis FRM/DPD/PKL/011
Jumat Sabtu Ahad
DEPARTEMEN PENDIDIKAN NASIONAL
3 4
INSTITUT PERTANIAN 5
BOGOR 6 7 8 9
DIREKTORAT PROGRAM DIPLOMA
1
Kampus IPB Cilibende, Jl. Kumbang No.14 Bogor 16151 X
Telp. (0251) 8329101, 8329051, Fax (0251) 8329101
No. Revisi : 0 Hal: 15/7 Tanggal Berlaku : 09 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 : ...............................................................................

...............................................................................
 FRM/SV/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

DAFTAR KEHADIRAN PRAKTIK KERJA LAPANGAN

PROGRAM STUDI EKOWISATA
Nama Instansi : xxxxxxxxxxxxxxxx
Alamat : xxxxxxxxxxxxxxxxxxxxxxxxxxxxx
XXXXXXXXXXXXXXXXXXXXXXXX

Paraf Pembimbing Lapang

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 Hal: 16/7 Tanggal Berlaku : 09 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 : ...............................................................................

...............................................................................
 FRM/SV/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

DAFTAR KEHADIRAN PRAKTIK KERJA LAPANGAN

PROGRAM STUDI EKOWISATA
Nama Instansi : xxxxxxxxxxxxxxxx
Alamat : xxxxxxxxxxxxxxxxxxxxxxxxxxxxx
XXXXXXXXXXXXXXXXXXXXXXXX
Periode Kegiatan (Minggu 13) : 10 – 16 Mei 2021
Hari / Tanggal
No. Nama Mahasiswa / NIM Senin Selasa Rabu Kamis Jumat Sabtu Ahad
10 11 12 13 14 15 16

X X X X XFRM/DPD/PKL/011
X X
1 DEPARTEMEN PENDIDIKAN NASIONAL
INSTITUT PERTANIAN BOGOR
DIREKTORAT PROGRAM DIPLOMA
Kampus
Paraf Pembimbing LapangIPB Cilibende, Jl. Kumbang No.14 Bogor 16151
Telp. (0251) 8329101, 8329051, Fax (0251) 8329101
No. Revisi : 0 Hal: 17/7 Tanggal Berlaku : 09 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 : ...............................................................................

...............................................................................
 FRM/SV/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

DAFTAR KEHADIRAN PRAKTIK KERJA LAPANGAN

PROGRAM STUDI EKOWISATA
Nama Instansi : xxxxxxxxxxxxxxxx
Alamat : xxxxxxxxxxxxxxxxxxxxxxxxxxxxx
XXXXXXXXXXXXXXXXXXXXXXXX

Periode Kegiatan (Minggu 14) : 17 – 23 Mei 2021

Hari / Tanggal
No. Nama Mahasiswa / NIM Senin Selasa Rabu Kamis Jumat Sabtu Ahad
17 18 19 20 21 22 23
FRM/DPD/PKL/011
DEPARTEMEN PENDIDIKAN NASIONAL X
1 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 Hal: 18/7 Tanggal Berlaku : 09 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 : ...............................................................................

...............................................................................
 FRM/SV/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

DAFTAR KEHADIRAN PRAKTIK KERJA LAPANGAN

PROGRAM STUDI EKOWISATA
Nama Instansi : xxxxxxxxxxxxxxxx
Alamat : xxxxxxxxxxxxxxxxxxxxxxxxxxxxx
XXXXXXXXXXXXXXXXXXXXXXXX

Paraf Pembimbing Lapang

Periode Kegiatan (Minggu 15) : 24 – 30 Mei 2021

Hari / Tanggal
No. Nama Mahasiswa / NIM Senin Selasa Rabu Kamis FRM/DPD/PKL/011
Jumat Sabtu Ahad
DEPARTEMEN PENDIDIKAN
24 25 NASIONAL
26 27 28 29 30
INSTITUT PERTANIAN BOGOR
1 X
DIREKTORAT PROGRAM DIPLOMA
Kampus IPB Cilibende, Jl. Kumbang No.14 Bogor 16151
X
Telp. (0251) 8329101, 8329051, Fax (0251) 8329101
No. Revisi : 0 Hal: 19/7 Tanggal Berlaku : 09 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 : ...............................................................................

...............................................................................
 FRM/SV/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

DAFTAR KEHADIRAN PRAKTIK KERJA LAPANGAN

PROGRAM STUDI EKOWISATA
Nama Instansi : xxxxxxxxxxxxxxxx
Alamat : xxxxxxxxxxxxxxxxxxxxxxxxxxxxx
XXXXXXXXXXXXXXXXXXXXXXXX

Paraf Pembimbing Lapang

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 Hal: 20/7 Tanggal Berlaku : 09 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 : ...............................................................................

...............................................................................
 FRM/SV/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

DAFTAR KEHADIRAN PRAKTIK KERJA LAPANGAN

PROGRAM STUDI EKOWISATA
Nama Instansi : xxxxxxxxxxxxxxxx
Alamat : xxxxxxxxxxxxxxxxxxxxxxxxxxxxx
XXXXXXXXXXXXXXXXXXXXXXXX
Periode Kegiatan (Minggu 16) : 31 Mei – 06 Juni 2021
Hari / Tanggal
No. Nama Mahasiswa / NIM Senin Selasa Rabu Kamis Jumat Sabtu Ahad
31 1 2 3 4 5 6

X FRM/DPD/PKL/011 X
1 DEPARTEMEN PENDIDIKAN NASIONAL
INSTITUT PERTANIAN BOGOR
DIREKTORAT PROGRAM DIPLOMA
Kampus
Paraf Pembimbing LapangIPB Cilibende, Jl. Kumbang No.14 Bogor 16151
Telp. (0251) 8329101, 8329051, Fax (0251) 8329101
No. Revisi : 0 Hal: 21/7 Tanggal Berlaku : 09 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 : ...............................................................................

...............................................................................
 FRM/SV/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

DAFTAR KEHADIRAN PRAKTIK KERJA LAPANGAN

PROGRAM STUDI EKOWISATA
Nama Instansi : xxxxxxxxxxxxxxxx
Alamat : xxxxxxxxxxxxxxxxxxxxxxxxxxxxx
XXXXXXXXXXXXXXXXXXXXXXXX

Periode Kegiatan (Minggu 17) : 07 – 13 Juni 2021

Hari / Tanggal
No. Nama Mahasiswa / NIM Senin Selasa Rabu Kamis Jumat Sabtu Ahad
7 8 9 10 11 12 13
FRM/DPD/PKL/011
DEPARTEMEN PENDIDIKAN NASIONAL X
1 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 Hal: 22/7 Tanggal Berlaku : 09 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 : ...............................................................................

...............................................................................
 FRM/SV/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

DAFTAR KEHADIRAN PRAKTIK KERJA LAPANGAN

PROGRAM STUDI EKOWISATA
Nama Instansi : xxxxxxxxxxxxxxxx
Alamat : xxxxxxxxxxxxxxxxxxxxxxxxxxxxx
XXXXXXXXXXXXXXXXXXXXXXXX

Paraf Pembimbing Lapang

Periode Kegiatan (Minggu 18) : 14 – 20 Juni 2021

Hari / Tanggal
No. Nama Mahasiswa / NIM Senin Selasa Rabu Kamis FRM/DPD/PKL/011
Jumat Sabtu Ahad
DEPARTEMEN PENDIDIKAN
14 15 NASIONAL
16 17 16 19 20
INSTITUT PERTANIAN BOGOR
1 DIREKTORAT PROGRAM DIPLOMA
Kampus IPB Cilibende, Jl. Kumbang No.14 Bogor 16151
X
Telp. (0251) 8329101, 8329051, Fax (0251) 8329101
No. Revisi : 0 Hal: 23/7 Tanggal Berlaku : 09 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 : ...............................................................................

...............................................................................
 FRM/SV/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

DAFTAR KEHADIRAN PRAKTIK KERJA LAPANGAN

PROGRAM STUDI EKOWISATA
Nama Instansi : xxxxxxxxxxxxxxxx
Alamat : xxxxxxxxxxxxxxxxxxxxxxxxxxxxx
XXXXXXXXXXXXXXXXXXXXXXXX

Paraf Pembimbing Lapang

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 Hal: 24/7 Tanggal Berlaku : 09 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 : ...............................................................................

...............................................................................
 FRM/SV/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

DAFTAR KEHADIRAN PRAKTIK KERJA LAPANGAN

PROGRAM STUDI EKOWISATA
Nama Instansi : xxxxxxxxxxxxxxxx
Alamat : xxxxxxxxxxxxxxxxxxxxxxxxxxxxx
XXXXXXXXXXXXXXXXXXXXXXXX
Periode Kegiatan (Minggu 19) : 21 – 27 Juni 2021
Hari / Tanggal
No. Nama Mahasiswa / NIM Senin Selasa Rabu Kamis Jumat Sabtu Ahad
21 22 23 24 25 26 27

FRM/DPD/PKL/011 X
1 DEPARTEMEN PENDIDIKAN NASIONAL
INSTITUT PERTANIAN BOGOR
DIREKTORAT PROGRAM DIPLOMA
Kampus
Paraf Pembimbing LapangIPB Cilibende, Jl. Kumbang No.14 Bogor 16151
Telp. (0251) 8329101, 8329051, Fax (0251) 8329101
No. Revisi : 0 Hal: 25/7 Tanggal Berlaku : 09 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 : ...............................................................................

...............................................................................
 FRM/SV/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

DAFTAR KEHADIRAN PRAKTIK KERJA LAPANGAN

PROGRAM STUDI EKOWISATA
Nama Instansi : xxxxxxxxxxxxxxxx
Alamat : xxxxxxxxxxxxxxxxxxxxxxxxxxxxx
XXXXXXXXXXXXXXXXXXXXXXXX

______________, _____________________
Mengetahui,
Pembimbing Lapang

FRM/DPD/PKL/011
DEPARTEMEN PENDIDIKAN NASIONAL
INSTITUT PERTANIAN BOGOR
DIREKTORAT PROGRAM DIPLOMA
________________________________
Kampus IPB Cilibende, Jl. Kumbang No.14 Bogor 16151
(Nama Jelas, Tanda tangan dan Stempel)
Telp. (0251) 8329101, 8329051, Fax (0251) 8329101
No. Revisi : 0 Hal: 26/7 Tanggal Berlaku : 09 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 : ...............................................................................

...............................................................................
 FRM/SV/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

DAFTAR KEHADIRAN PRAKTIK KERJA LAPANGAN

PROGRAM STUDI EKOWISATA
Nama Instansi : xxxxxxxxxxxxxxxx
Alamat : xxxxxxxxxxxxxxxxxxxxxxxxxxxxx
XXXXXXXXXXXXXXXXXXXXXXXX

Catatan :
- Daftar Kehadiran PKL dan TA dapat diperbanyak sesuai dengan waktu PKL dan TA
- Daftar Kehadiran PKL diserahkan ke Program Studi maksimal satu minggu setelah PKL dan
TA berakhir

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 Hal: 27/7 Tanggal Berlaku : 09 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 : ...............................................................................

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