Catatan: BERKAS UJIAN PROPOSAL DISERTASI DISERAHKAN KEBAGIAN PENGAJARAN PALING LAMBAT SATU (1) MINGGU SEBELUM PELAKSANAAN UJIAN PROPOSAL

BERKAS EVALUASI PROPOSAL DISERTASI

Mohon, pada Bapak/Ibu Promotor (yang mewakili) Nilai dan Berita Acara Ujian Proposal Disertasi Langsung Diserahkan Kebagian Pengajaran (Mohon tidak diserahkan Ke Mahasiswa) Bagian Pengajaran

Nama

:

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

NIM

:

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

Program Doktor

:

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

Kekhususan

:

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

Judul Disertasi

:

........................................................................................................................................................................... ........................................................................................................................................................................... ........................................................................................................................................................................... ........................................................................................................................................................................... Tim Promotor dan Penguji Promotor

:

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

Ko Promotor 1

:

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

Ko Promotor 2

:

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

Penguji 1

:

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

Penguji 2

:

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

Penguji 3

:

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

Dilaksanakan pada: Hari / Tanggal

:

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

J a m /Tempat

:

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

Kelengkapan Persayaratan yang diserahkan ke Pengajaran  UEPS3-1 = 1 lembar  UEPS-3 = 2 lembar  UEPS-5 = 1 lembar  UEPS-6 dan Saran = 6 lembar  UEPS-7 = 1 lembar  Laporan Kemajuan Belajar = 1 lembar (Asli)  Salinan PAT = 1 lembar  Salinan Toefl = 1 lembar  Salinan TPA = 1 lembar Tembusan : 1. Ketua Program Doktor = Copy UEPS3-3 = 1 Lembar 2. Bagian Keuangan = Copy UEPS3-3 = 1 Lembar 3. Bagian TU = Copy UEPS3-3 = 1 Lembar 3. Bagian Pengajaran = Copy UEPS3-3 = 1 Lembar

Catatan: BERKAS UJIAN PROPOSAL DISERTASI DISERAHKAN KEBAGIAN PENGAJARAN PALING LAMBAT SATU (1) MINGGU SEBELUM PELAKSANAAN UJIAN PROPOSAL

UEPS3 - 0

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

KARTU KENDALI PERSYARATAN PENDAFTARAN UJIAN PROPOSAL DISERTASI

Nama Mahasiswa

:

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

NIM

:

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

Program Doktor

:

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

Persyaratan Pendaftaran Ujian Proposal Disertasi: No

Jenis Persyaratan

1.

Naskah Proposal Disertasi yang telah disetujui semua Pembimbing

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

2.

Perbanyakan Naskah Proposal Disertasi

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

3.

Sertifikat TPA dengan skor telah memenuhi persyaratan Program Doktor

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

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

4.

9.

Keterangan

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

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

Demikian, atas perhatiannya kami ucapkan terimakasih.

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

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


Perihal

UEPS3 - 1

: Permohonan Ujian Proposal Disertasi

Kepada : Yth. Ketua Jurusan Teknik Sipil

Bersama ini kami hadapkan mahasiswa bimbingan kami Nama

:

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

NIM

:

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

Program Doktor

:

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

Judul Disertasi

:

.................................................................................................................................................................... .................................................................................................................................................................... .................................................................................................................................................................... .................................................................................................................................................................... Untuk melaksanakan Ujian Proposal Disertasi, dan kami mohon untuk diselenggarakan pada: Hari

:

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

Tanggal

:

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

Jam

:

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

Tempat/Ruang

:

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

Demikian, atas perhatiannya kami ucapkan terima kasih.

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

Promotor,

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


UEPS3 - 2

Nomor : /UN10.6.1/AK/2016 Lampiran : 1 (Satu) Berkas Perihal : Usulan Dosen Penguji Proposal Disertasi

Kepada : Yth. Ketua Jurusan Teknik Sipil Di Tempat

Sehubungan dengan Ujian Proposal Disertasi mahasiswa: Nama

:

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

No. Mahasiswa

:

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

Program Doktor

:

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

Judul Disertasi

:

......................................................................................................................................................................... ......................................................................................................................................................................... ......................................................................................................................................................................... ......................................................................................................................................................................... maka kami usulkan Dosen Penguji Proposal Disertasi untuk dapat diterbitkan Surat Keputusan Dekan Fakukltas Teknik.

No.

Nama

Bidang Keahlian

Instansi Asal

1.

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

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

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

2.

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

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

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

3.

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

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

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

4.

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

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

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

Demikian, atas perhatian dan kerjasamanya diucapkan terima kasih.

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

Promotor

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

UEPS3 - 3


PERSETUJUAN EVALUASI PROPOSAL PENELITIAN DISERTASI Yang bertanda tangan dibawah ini, tim Promotor dan Penguji menyetujui Ujian Proposal Disertasi mahasiswa : Nama

:

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

No. Mahasiswa

:

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

Kekhususan

:

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

Judul

:

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

yang akan diselenggarakan pada :

No.

Hari / Tanggal

:

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

J a m /Tempat

:

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

Kekhususan

:

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

Judul

:

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

Nama Promotor dan Penguji

Tanda tangan Tgl. Persetujuan

1.

Promotor

2.

Ko- 1

3.

Ko- 2

4.

Penguji

5.

Penguji

6.

Penguji

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

( .............................................................................. ) Tembusan: 1. Ketua Program Doktor Teknik Sipil 2. Bagian Administrasi Teknik Sipil 3. Bagian Keuangan FT-UB

UEPS3 - 4


Nomor : /UN10.6.1/AK/2016 Lampiran : Perihal : Undangan Menguji Proposal Disertasi

Kepada

: Yth. ....................................................................................... (Promotor)

Bersama ini kami mengharap kehadiran Bapak/Ibu pada Ujian Proposal Disertasi dari : Nama

:

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

No. Mahasiswa

:

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

Program Doktor

:

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

yang akan diselenggarakan pada : Hari

:

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

Tanggal

:

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

Jam

:

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

Tempat

:

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


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

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

Catatan : 1. Dosen Penguji dimohon memakai dasi 2. Mahasiswa memakai baju putih, berdasi dan bawahan berwarna gelap

UEPS3 - 4



Kepada

: Yth.

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

(Ko-Promotor I)


:

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

No. Mahasiswa

:

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

Program Doktor

:

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


:

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

Tanggal

:

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

Jam

:

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

Tempat

:

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


Malang, Ketua Jurusan Teknik Sipil



UEPS3 - 4



Kepada

: Yth.

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

(Ko-Promotor II)


:

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

No. Mahasiswa

:

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

Program Doktor

:

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


:

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

Tanggal

:

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

Jam

:

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

Tempat

:

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





UEPS3 - 4


Nomor Lampiran Perihal

Kepada

: /UN10.6.1/AK/2016 : : Undangan Menguji Proposal Disertasi

: Yth.

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

(Penguji I)


:

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

No. Mahasiswa

:

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

Program Doktor

:

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


:

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

Tanggal

:

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

Jam

:

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

Tempat

:

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





UEPS3 - 4



Kepada

: Yth.

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

(Penguji II)


:

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

No. Mahasiswa

:

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

Program Doktor

:

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


:

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

Tanggal

:

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

Jam

:

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

Tempat

:

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





UEPS3 - 4



Kepada

: Yth.

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

(Penguji III)


:

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

No. Mahasiswa

:

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

Program Doktor

:

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


:

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

Tanggal

:

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

Jam

:

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

Tempat

:

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





UEPS3 - 05


TATACARA PELAKSANAAN EVALUASI PROPOSAL PENELITIAN DISERTASI 1. Mahasiswa diperbolehkan menempuh Ujian Proposal Disertasi bilamana telah memenuhi persyaratan akademik dan administratif. Mahasiswa S3 telah menempuh minimum 12 sks dengan IPK  3.00 tanpa nilai D. 2. Tim penguji terdiri dan Tim Promotor ditambah tiga penguji diluar komisi yang ditetapkan oleh Ketua Jurusan Teknik Sipil berdasarkan usulan Ketua Program Doktor Teknik Sipil. 3. Jadwal ujian ditentukan oleh Ketua Program Doktor PMD Teknik Sipil berdasarkan kesediaan tim penguji dan kesepakatan dengan mahasiswa. 4. Ujian Proposal Disertasi dilaksanakan sekitar 120 menit dan dipimpin oleh Promotor; jika Promotor tidak hadir dapat digantikan oleh Ko-Promotor, ujian dapat diselenggarakan jika dihadiri minimum lima orang penguji. 5. Penilaian ujian meliputi penguasaan materi proposal penelitian disertasi meliputi : a. Penguasaan metodologi penelitian di bidang ilmunya; b. Penguasaan materi bidang ilmunya baik yang bersifat dasar maupun kekhususan; c. Kemampuan penalaran termasuk kemampuan untuk mengadakan abstraksi; d. Kemampuan sistematisasi dan perumusan hasil pemikiran. 6. Setelah ujian selesai, mahasiswa dipersilahkan keluar ruangan, tim Evaluasi mengadakan rapat untuk memutuskan hasil ujian. 7. Pada prinsipnya hasil Ujian Proposal Disertasi ditetapkan secara musyawarah oleh tim Penguji; untuk membantu pengambilan keputusan akhir, penguji mengisi formulir penilaian yang telah disediakan, dan kemudian diambil nilai reratanya. Hasil Ujian Proposal Disertasi berupa: a. Lulus jika hasil rerata ujian proposal penelitian Disertasi minimum B. b. Tidak lulus*) jika hasil rerata ujian proposal penelitian Disertasi di bawah B. 8. Hasil keputusan penilaian disampaikan pada mahasiswa setelah rapat selesai. 9. Blanko penilaian dan semua berkas dikembalikan ke bagian pengajaran oleh Ketua Tim Penguji dan tidak diberikan kepada mahasiswa.

Malang, Ketua Jurusan Teknik Sipil, ttd. Ir. Sugeng P. Budio, MS. NIP. 19610125 198601 1 001

Catatan : *) Bagi yang tidak lulus ulangan ujian proposal disertasi diselenggarakan paling cepat 1 bulan setelah ujian pertama.

UEPS3 - 6


NILAI PROPOSAL DISERTASI

Nama

:

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

No. Mahasiswa

:

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

Program Doktor

:

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

Judul Disertasi

:

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

No

KOMPONEN PENILAIAN

Bobot

NILAI

B x NA

(ANGKA) 1. 2. 3.

4.

Penguasaan substansi keilmuan dan kemampuan mahasiswa mengajukan argumentasi ilmiah dalam menjawab pertanyaan Penguasaan metode penelitian dan kemampuan mahasiswa mengajukan argumentasi ilmiah dalam menjawab pertanyaan Kemampuan mahasiswa menyajikan/mengkomunikasikan materi proposalnya

0.30

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

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

0.30

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

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

0.20

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

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

0.20

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

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

Penulisan Proposal Disertasi 1.0

Jumlah

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

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

Malang, Promotor,

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

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


Nama

:

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

No. Mahasiswa

:

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

Program Doktor

:

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

Judul Disertasi

:

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

saran-saran yang disepakati untuk memperbaiki Disertasinya: Saran-Saran Perbaikan

1.

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

2.

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

3.

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

4.

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

5.

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

6.

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

7.

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

8.

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

9.

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

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

Malang, ................................... Promotor,

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

UEPS3 - 6



Nama

:

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

No. Mahasiswa

:

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

Program Doktor

:

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

Judul Disertasi

:

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

No

KOMPONEN PENILAIAN

Bobot

NILAI

B x NA

(ANGKA) 1. 2.

3.

4.


0.30

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

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

0.30

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

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

0.20

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

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

0.20

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

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


Jumlah

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


Malang, ........................................ Ko-Promotor 1,

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


Nama

:

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

No. Mahasiswa

:

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

Program Doktor

:

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

Judul Disertasi

:

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


1.

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

2.

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

3.

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

4.

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

5.

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

6.

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

7.

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

8.

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

9.

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


Malang, Ko-Promotor 1,

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

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

UEPS3 - 6



Nama

:

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

No. Mahasiswa

:

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

Program Doktor

:

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

Judul Disertasi

:

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

No

KOMPONEN PENILAIAN

Bobot

NILAI

B x NA

(ANGKA) 1. 2.

3.

4.


0.30

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

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

0.30

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

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

0.20

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

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

0.20

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

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


Jumlah

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



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

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


Nama

:

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

No. Mahasiswa

:

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

Program Doktor

:

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

Judul Disertasi

:

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


1.

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

2.

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

3.

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

4.

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

5.

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

6.

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

7.

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

8.

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

9.

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



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

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

UEPS3 - 6



Nama

:

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

No. Mahasiswa

:

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

Program Doktor

:

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

Judul Disertasi

:

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

No

KOMPONEN PENILAIAN

Bobot

NILAI

B x NA

(ANGKA) 1. 2. 3.

4.


0.30

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

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

0.30

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

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

0.20

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

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

0.20

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

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


Jumlah

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


Malang, Penguji 1,

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

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


Nama

:

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

No. Mahasiswa

:

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

Program Doktor

:

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

Judul Disertasi

:

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


1.

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

2.

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

3.

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

4.

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

5.

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

6.

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

7.

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

8.

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

9.

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


Malang, Penguji 1,

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

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



Nama

:

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

No. Mahasiswa

:

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

Program Doktor

:

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

Judul Disertasi

:

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

No

KOMPONEN PENILAIAN

Bobot

NILAI

B x NA

(ANGKA) 1. 2. 3.

4.


0.30

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

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

0.30

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

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

0.20

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

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

0.20

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

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


Jumlah

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


Malang, Penguji 2,

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

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


Nama

:

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

No. Mahasiswa

:

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

Program Doktor

:

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

Judul Disertasi

:

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


1.

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

2.

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

3.

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

4.

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

5.

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

6.

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

7.

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

8.

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

9.

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

10. ............................................................................................................................................................ Demikian, untuk menjadikan periksa adanya dan atas perhatiannya kami ucapkan terimakasih. Malang, Penguji 2,

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

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

UEPS3 - 6


NILAI PROPOSAL DISERTASI Nama

:

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

No. Mahasiswa

:

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

Program Doktor

:

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

Judul Disertasi

:

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

No

KOMPONEN PENILAIAN

Bobot

NILAI

B x NA

(ANGKA) 1. 2. 3.

4.


0.30

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

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

0.30

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

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

0.20

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

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

0.20

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

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


Jumlah

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


Malang, Penguji 3,

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

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


Nama

:

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

No. Mahasiswa

:

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

Program Doktor

:

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

Judul Disertasi

:

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


1.

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

2.

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

3.

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

4.

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

5.

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

6.

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

7.

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

8.

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

9.

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


Malang, Penguji 3,

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

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

UEPS3 - 76


BERITA ACARA REKAPITULASI NILAI PROPOSAL DISERTASI

Mahasiswa Program Doktor Jurusan Teknik Sipil tersebut dibawah ini :

Nama

:

No. Mahasiswa

:

Program Doktor

:

telah dilaksanakan pada : Hari / Tanggal

:

J a m /Tempat

:

Nilai

: Nama

Nilai (Angka)

Keterangan *)

Ketua

1.

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

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

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

Anggota

2.

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

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

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

Anggota

3.

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

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

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

Penguji

4.

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

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

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

Penguji

5.

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

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

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

Penguji

6.

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

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

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

Penguji

7.

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

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

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

Rerata

………..

*) Catatan : Lulus/tidak lulus ketentuan ada pada UEPS3-5

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


*) Coret yang tidak perlu

Bobot 4.0 3.5 3.0 2.5 2.0 1.5 1.0 0

Malang, Promotor (atau yang mewakili),

(……………………………………………….)


BERITA ACARA PENYERAHAN NASKAH PROPOSAL DISERTASI YANG TELAH DISETUJUI OLEH SEMUA DOSEN PEMBIMBING, DAN TELAH DISYAHKAN OLEH KETUA PROGRAM DOKTOR JURUSAN TEKNIK SIPIL Pada hari ini: Teknik Sipil, Kami:

, tanggal :

, bertempat di Sub-Bagian Administrasi PMD

Nama

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

No. Mahasiswa

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

Program Doktor

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

MENYERAHKAN SATU EKSEMPLAR NASKAH PROPOSAL DISERTASI YANG TELAH DISETUJUI/DITANDA-TANGANI OLEH SEMUA KOMISI PEMBIMBING, DAN TELAH DISAHKAN OLEH KETUA PROGRAM DOKTOR KEPADA PETUGAS SUB-BAGIAN ADMINISTRASI PMD JURUSAN TEKNIK SIPIL Demikian, untuk menjadikan periksa adanya.

Petugas Sub-Bagian Administrasi

Malang, ............................................ Mahasiswa

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

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

Catatan: Lembar ini untuk Sub-Bagian Administrasi

Jurusan Teknik Sipil

Catatan: BERKAS UJIAN PROPOSAL DISERTASI DISERAHKAN KEBAGIAN PENGAJARAN PALING LAMBAT SATU (1) MINGGU SEBELUM PELAKSANAAN UJIAN PROPOSAL

Recommend Documents