BERKAS SEMINAR HASIL PENELITIAN DISERTASI PROGRAM DOKTOR

BERKAS SEMINAR HASIL PENELITIAN DISERTASI

PROGRAM DOKTOR

Nama

:

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

No. Mahasiswa

:

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

Program Doktor

:

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

Kekhususan

:

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

Judul Seminar Disertasi :

S-3

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

................................................................................................................................. Dilaksanakan pada: H a r i / Tanggal

:

............................................... / .................................................

Jam

:

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

Tempat

:

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

Komisi Penguji Promotor

:

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

Ko-Promotor I

:

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

Ko-Promotor II

:

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

Penguji 1

:

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

Penguji 2

:

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

Penguji 3

:

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

Kelengkapan Persayaratan yang diserahkan ke Pengajaran  SHP S3-1 = 1 lembar  SHP S3-2 = 4 lembar  SHP S3-5 = 1 lembar  SHP S3-6 dan Saran = 1 lembar  SHP S3-7 dan Saran = 1 lembar  SHP S3-8 dan Saran = 1 lembar  SHP S3-9 dan Saran = 1 lembar  SHP S3-10 dan Saran = 1 lembar  SHP S3-11 dan Saran = 1 lembar  SHP S3-12 = 1 lembar Tembusan: 1. Bagian Tata Usaha SHP S3-2 = 2. Bagian Keuangan SHP S3-2 = 3. Administrasi PMD Jurusan Sipil =

1 lembar 1 lembar 1 lembar

SHP S3-0

KEMENTERIAN RISET, TEKNOLOGI DAN PENDIDIKAN TINGGI UNIVERSITAS BRAWIJAYA FAKULTAS TEKNIK JURUSAN TEKNIK SIPIL PROGRAM DOKTOR

KARTU KENDALI PERSYARATAN PENDAFTARAN SEMINAR HASIL PENELITIAN DISERTASI Nama

: .......................................................................................................

No. Mahasiswa

: .......................................................................................................

Program Doktor

: .......................................................................................................

Persyaratan Pendaftaran Ujian Proposal Disertasi: No

Jenis Persyaratan

Keterangan

1.

Naskah Proposal Disertasi yang telah disetujui semua Pembimbing

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

2.

Perbanyakan Naskah Proposal Disertasi

3.

Sertifikat TPA dengan skor telah memenuhi persyaratan Program Doktor

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

4.

Sertifikat TOEFL dengan skor telah memenuhi persyaratan Program Doktor

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

5.

KTM yang masih berlaku

6.

LKB terakhir dan Hasil Ujian Kualifikasi

7.

Kartu Rencana Studi

8.

Bukti Pemenuhan kewajiban administrasi keuangan, administrasi akademik sesuai dengan ketentuan yang berlaku

9.

Lain-lain, yang dianggap perlu: …………..

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

.................................................. .................................................. .................................................. dan

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

Demikian, atas perhatiannya kami ucapkan terimakasih.

Malang, ................................................ Sub. Bagian Administrasi Teknik Sipil

( ...................................................... )


Perihal :

SHP S3- 1

Permohonan Seminar Hasil Penelitian Disertasi

Kepada : Yth. Ketua Jurusan Teknik Sipil Universitas Brawijaya Malang

Bersama ini kami hadapkan mahasiswa bimbingan kami: Nama

: ...........................................................................................

No. Mahasiswa

: ...........................................................................................

Program Doktor

: ...........................................................................................

Untuk melaksanakan seminar Hasil Penelitian Judul

: ........................................................................................................................ ........................................................................................................................ ........................................................................................................................

yang akan diselenggarakan pada : Hari

: ...........................................................................................

Tanggal

: ...........................................................................................

Jam

: ...........................................................................................

Tempat

: ...........................................................................................

Demikian, atas perhatiannya kami ucapkan terima kasih.

Malang,.............................................

Promotor,

.................................................... NIP.


SHP S3-2

PERSETUJUAN SEMINAR HASIL PENELITIAN Yang bertanda tangan dibawah ini, tim penguji menyetujui seminar hasil penelitian mahasiswa : Nama : ........................................................................................... No. Mahasiswa

: ...........................................................................................

Program Doktor

: ...........................................................................................

Kekhususan

: ...........................................................................................

Judul

: ...........................................................................................

yang akan diselenggarakan pada :

No.

Hari

: ...........................................................................................

Tanggal

: ...........................................................................................

Jam

: ...........................................................................................

Tempat

: ...........................................................................................

Nama Tim Penguji

Tanda tangan

Tgl. Persetujuan

1) .............................................................................................. Promotor

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

2) .............................................................................................. Ko Promotor

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

3) .............................................................................................. Ko Promotor

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

4) .............................................................................................. Dosen Penguji ................... .................... 5) .............................................................................................. Dosen Penguji ................... .................... 6) .............................................................................................. Dosen Penguji ................... ....................

Malang, Menyetujui A.n. Ketua Jurusan Teknik Sipil Ketua Program Doktor Teknik Sipil

(Ari Wibowo, ST., MT., Ph.D) NIP. 19740619 200012 1 001


SHP S3-3

Nomor : /UN10.6.1/AK/2016 Lampiran : Perihal : Undangan Seminar Hasil Penelitian

Kepada

: Yth. ................................................................... (Promotor/Ko-Promotor/Penguji) ………………………………

Bersama ini kami mengharap kehadiran Bapak/Ibu pada seminar Hasil Penelitian dari: Nama

: ...........................................................................................

No. Mahasiswa

: ...........................................................................................

Program Doktor

: ...........................................................................................

Judul

: ................................................................................................................... ................................................................................................................... ................................................................................................................... ...................................................................................................................

yang akan diselenggarakan pada : Hari

: ...........................................................................................

Tanggal

: ...........................................................................................

Jam

: ...........................................................................................

Tempat

: ...........................................................................................

Demikian, atas perhatiannya kami ucapkan terimakasih.

Malang,.............................. Ketua Jurusan Teknik Sipil

Ir. Sugeng P. Budio, MS. NIP. 19610125 198601 1 001


SHP S3-4

Nomor : /UN10.6.1/AK/2016 Lampiran : Perihal : Pemberitahuan Seminar Hasil Penelitian Disertasi

Kepada

: Yth. Mahasiswa Program Doktor Program Magister dan Doktor Fakultas Teknik Universitas Brawijaya Malang Bersama ini kami mengharap kehadiran saudara pada seminar hasil penelitian dari: Nama

:

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

No. Mahasiswa

:

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

Program Doktor

:

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

Judul

:

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

yang akan diselenggarakan pada : H a r i / Tanggal

: ......................................... / .............................................

Jam

: ...........................................................................................

Tempat

: ...........................................................................................

Demikian, atas perhatiannya kami ucapkan terima kasih.

Malang,.............................. Ketua Jurusan Teknik Sipil

Ir. Sugeng P. Budio, MS. NIP. 19610125 198601 1 001

SHP S3-5


BERITA ACARA SEMINAR HASIL PENELITIAN

Penyelenggaraan seminar hasil Penelitian dari mahasiswa yang tersebut: Nama

: ......................................................................................................

No. Mahasiswa

: ......................................................................................................

Program Doktor

: ......................................................................................................

telah dilaksanakan pada : H a r i / Tanggal :

.................................../

Jam

:

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

Tempat

:

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

Nilai

:

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

Penilaian Oleh Komisi

Nilai (Angka)

Nilai (Huruf)*)

1. ...............................................................................................

………..

………..

Anggota 2. ...............................................................................................

………..

………..

Anggota 3. ...............................................................................................

………..

………..

Penguji

4. ...............................................................................................

………..

………..

Penguji

5. ...............................................................................................

………..

………..

Penguji

6. ...............................................................................................

………..

………..

………..

………..

Ketua

Rerata

Demikian, untuk menjadikan periksa adanya. Malang, Promotor

( ................................................................... ) *) Nilai huruf hanya untuk rerata dan didasarkan pada SK Rektor 078/SK/1995 Nilai Angka >80 - 100 > 75 - 80 > 69 - 75 > 60 - 69 > 55 - 60 > 50 - 55 > 44 - 50 0 - 44

Nilai Huruf A B+ B C+ C D+ D E

Bobot 4.0 3.5 3.0 2.5 2.0 1.5 1.0 0

SHP S3-6


PENILAIAN SEMINAR HASIL PENELITIAN Berdasarkan seminar Hasil Penelitian Disertasi yang telah dilakukan oleh mahasiswa yang tersebut dibawah ini : Nama

:

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

No. Mahasiswa

:

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

Program Doktor

:

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

Judul

:

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

maka dapat dilakukan penilaian sebagai berikut : No. Komponen Penilaian

Nilai Angka

1.

Naskah Seminar Hasil Penelitian Disertasi

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

2.

Penyajian/Presentasi Naskah

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

3.

Diskusi/Tanya-jawab/Dialog

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

Rata-rata

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

Demikian untuk menjadikan periksa adanya dan atas perhatiannya kami ucapkan terimakasih. Malang, Promotor,

( .................................................................................)

Catatan: Nilai dan naskah hasil penelitian diserahkan langsung kebagian Pengajaran setelah seminar selesai *) Nilai huruf hanya untuk rerata dan didasarkan pada SK Rektor 078/SK/1995 Nilai Angka >80 - 100 > 75 - 80 > 69 - 75 > 60 - 69 > 55 - 60 > 50 - 55 > 44 - 50 0 - 44


Bobot 4.0 3.5 3.0 2.5 2.0 1.5 1.0 0


SHP S3-6

Seminar Hasil Penelitian Disertasi dari mahasiswa: Nama : .................................................................................. No. Mahasiswa : .................................................................................. Program Doktor : .................................................................................. Judul : ....................................................................................................... ....................................................................................................... ....................................................................................................... ....................................................................................................... maka dapat kami sampaikan saran-saran sebagai berikut: 1.

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

2

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

3

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

4

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

5

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

Demikian, untuk menjadikan periksa adanya dan atas perhatiannya kami ucapkan terimakasih. Malang, Promotor,

( ..................................................... ) Catatan: Satu copy untuk mahasiswa

SHP S3-7


PENILAIAN SEMINAR HASIL PENELITIAN

Berdasarkan seminar Hasil Penelitian Disertasi yang telah dilakukan oleh mahasiswa yang tersebut dibawah ini : Nama

:

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

No. Mahasiswa

:

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

Program Doktor

:

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

Judul

:

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


Nilai Angka

1.


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

2.


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

3.


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

Rata-rata

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

Demikian untuk menjadikan periksa adanya dan atas perhatiannya kami ucapkan terimakasih.

Malang, Ko-Promotor,

( .................................................................................)

Catatan: Nilai dan naskah hasil penelitian diserahkan langsung kebagian Pengajaran setelah seminar selesai *) Nilai huruf hanya untuk rerata dan didasarkan pada SK Rektor 078/SK/1995 Nilai Angka >80 - 100 > 75 - 80 > 69 - 75 > 60 - 69 > 55 - 60 > 50 - 55 > 44 - 50 0 - 44


Bobot 4.0 3.5 3.0 2.5 2.0 1.5 1.0 0


SHP S3-7

Seminar Hasil Penelitian Disertasi dari mahasiswa: Nama : .................................................................................. No. Mahasiswa : .................................................................................. Program Doktor : .................................................................................. Judul : ....................................................................................................... ....................................................................................................... ....................................................................................................... ....................................................................................................... maka dapat kami sampaikan saran-saran sebagai berikut: 1.

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

2

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

3

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

4

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

5

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

Demikian, untuk menjadikan periksa adanya dan atas perhatiannya kami ucapkan terimakasih. Malang, Ko-Promotor,

( ........................................................................... ) Catatan: Satu copy untuk mahasiswa

SHP S3-8




:

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

No. Mahasiswa

:

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

Program Doktor

:

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

Judul

:

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


Nilai Angka

1.


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

2.


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

3.


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

Rata-rata

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


Malang, Ko-Promotor II,

( .................................................................................)

Catatan: Nilai dan naskah hasil penelitian diserahkan langsung kebagian Pengajaran setelah seminar selesai Nilai Angka >80 - 100 > 75 - 80 > 69 - 75 > 60 - 69 > 55 - 60 > 50 - 55 > 44 - 50 0 - 44


Bobot 4.0 3.5 3.0 2.5 2.0 1.5 1.0 0


SHP S3-8

Seminar Hasil Penelitian Disertasi dari mahasiswa: Nama : ........................................................................................ No. Mahasiswa

:

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

Program Doktor

:

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

Judul

:

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

maka dapat kami sampaikan saran-saran sebagai berikut: 1.

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

2

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

3

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

4

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

5

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

Demikian, untuk menjadikan periksa adanya dan atas perhatiannya kami ucapkan terimakasih. Malang, Ko-Promotor II

( ................................................................................... ) Catatan: Satu copy untuk mahasiswa

SHP S3-9




:

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

No. Mahasiswa

:

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

Program Doktor

:

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

Judul

:

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


Nilai Angka

1.


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

2.


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

3.


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

Rata-rata

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


Malang, Penguji,

( .................................................................................)



Bobot 4.0 3.5 3.0 2.5 2.0 1.5 1.0 0


SHP S3-9


:

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

Program Doktor

:

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

Judul

:

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


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

2

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

3

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

4

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

5

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

Demikian, untuk menjadikan periksa adanya dan atas perhatiannya kami ucapkan terimakasih. Malang, Penguji

( ........................................................ ) Catatan: Satu copy untuk mahasiswa

SHP S3-10




:

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

No. Mahasiswa

:

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

Program Doktor

:

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

Judul

:

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


Nilai Angka

1.


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

2.


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

3.


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

Rata-rata

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


Malang, Penguji,

( .................................................................................)



Bobot 4.0 3.5 3.0 2.5 2.0 1.5 1.0 0


SHP S3-10


:

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

Program Doktor

:

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

Judul

:

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


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

2

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

3

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

4

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

5

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


( ........................................................... ) Catatan: Satu copy untuk mahasiswa

SHP S3-11




:

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

No. Mahasiswa

:

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

Program Doktor

:

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

Judul

:

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


Nilai Angka

1.


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

2.


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

3.


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

Rata-rata

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


Malang, Penguji,

( .................................................................................)



Bobot 4.0 3.5 3.0 2.5 2.0 1.5 1.0 0


SHP S3-11


:

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

Program Doktor

:

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

Judul

:

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


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

2

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

3

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

4

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

5

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


( ........................................................... ) Catatan: Satu copy untuk mahasiswa

SHP S3-12


DAFTAR HADIR SEMINAR HARI/TANGGAL JAM NO 01.

: .................................................................. : ........................... / ................................ : ..................................................................

NAMA MAHASISWA

TANDA TANGAN 01. 02.

02. 03.

03. 04.

04. 05

05. 06.

06. 07.

07. 08.

08. 09.

09. 10.

10. 11.

11. 12.

12. 13.

13. 14.

14. 15.

15. 16.

16. 17.

17. 18.

18. 19.

19. 20.

20. 21.

21. 22.

22. 23.

23. 24.

24. 25.

25. 26.

26. 27.

27. Malang, Promotor (atau yang mewakili)

( ..................................................................... )

BERKAS SEMINAR HASIL PENELITIAN DISERTASI PROGRAM DOKTOR

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