FORM PENGARAHAN DAN PENGAWASAN DPL

PELAKSANAAN KKNT MBKM

UNISRI TA 2021/2022

1. Hari/tanggal : …………………...............
2. Kelompok : …………………...............
3. Desa :…………………….............
4. Kecamatan : ……………………...........
5. Monitoring ke : …………………................
6. Mahasiswa yang tidak hadir :…………………………….
7. Kehadiran DPL...................................................................Kali
8. Pengisian Buku Kerja : ……………………………

9. Tingkat Keterlaksanaan Program

No Nama Program Sasaran Ketercapaian Keterangan
(%)
10. Permasalahan

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

11. Solusi/Pemacahan yang ditawarkan

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

12. Catatan tambahan

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

Surakarta,...................2022
DPL,

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