DEPARTEMEN PENDIDIKAN NASIONAL - UNIVERSITAS AIRLANGGA FACULTY OF SCIENCE AND TECHNOLOGY
Kampus C Unair, Mulyorejo Surabaya (60115) Telp.62-31-5936501 Fax. 62-31-5936502
FINAL PROJECT PROPOSAL
AND FINAL PROJECT FORM
1. PROCEDURE TO TAKE FINAL PROJECT 2. FINAL PROJECT PRECEPTOR 3. RULES OF SEMINAR AND EXAMINATION 4. EXAMINATION REPORT 5. EXAMINATION ASSESSMENT FORMAT 6. LETTER OF FREE OF TOOLS AND BOOKS LOAN
FACULTY OF SCIENCE AND TECHNOLOGY
UNIVERSITAS AIRLANGGA
2008
DEPARTEMEN PENDIDIKAN NASIONAL - UNIVERSITAS AIRLANGGA FACULTY OF SCIENCE AND TECHNOLOGY
Kampus C Unair, Mulyorejo Surabaya (60115) Telp.62-31-5936501 Fax. 62-31-5936502
LIST OF CONTENT
Page
a. Rules of Final Project Proposal enforcement ................................................................. 1
b. Final Project Proposal invitation .................................................................................... 2
c. Approval letter of Final Project Preparation from Academic Advisor ........................... 3
d. Final Project Supervisor Proposal ................................................................................... 4
e. Willingness Form as Final Project Supervisor ................................................................ 5
f. Report of Final Project Proposal ................................................................................... 6
g. Final Project Proposal Assessment Form ...................................................................... 7
h. Final Project Script Corrective Notes……………………………………………. ......... 8
i. Procedure of Making Final Project Proposal ………………………………………. ... 9
j. Rules of Final Project Examination ................................................................................ 10
k. Final Project invitation .................................................................................................... 12
l. Approval Letter from Final Project Supervisor for Student to Take The Final Project
Examination ................................................................................................................... 13
m. Approval Letter from Academic Advisor for Student to Take The Final Project
Examination .................................................................................................................... 14
n. Final Project Consultation Card ..................................................................................... 15
o. Assessment Form Final Project Content ......................................................................... 16
p. Assessment Form Final Project Presentation .................................................................. 17
q. Report of Final Project Examination .............................................................................. 18
r. Final Project Corrective Notes ........................................................................................ 19
s. Approval Letter of Binding and Duplicating Final Project Script .................................. 20
t. Procedure of Enforcement and Final Project Examination ............................................. 21
u. Letter of Free Of Tools and Books Loan ....................................................................... 22
DEPARTEMEN PENDIDIKAN NASIONAL - UNIVERSITAS AIRLANGGA FACULTY OF SCIENCE AND TECHNOLOGY
Kampus C Unair, Mulyorejo Surabaya (60115) Telp.62-31-5936501 Fax. 62-31-5936502
RULES OF FINAL PROJECT PROPOSAL ENFORCEMENT
1. Students come 15 minutes earlier before the final project proposal begins, and have arranged
the equipment for the presentation.
2. The examination is led by 1st Supervisor candidate.
3. The presentation of the paper is conducted for 15 minutes, and the discussion was held for 45
minutes.
4. Each final project proposal examiner is given a maximum of 15 minutes to ask questions /
discussions. The excess time is given for other seminar participants to ask questions.
5. At the end of the exam, the examiner will hold a meeting to decide the exam results
6. The script that has been revised in accordance with the advice of supervisors and examiners
can be bound and duplicated after getting their approval and submitted to the Department no
later than three weeks after the final project proposal executed.
7. Revising the Final Project script must be appropriate the applicable format and based on the
advice from supervisors and examiners.
8. Legalization page after being signed by the supervisor, will be bound along with Final
Proposal script. (the example of legalization page is attached).
9. Things that have not been set up, will be completed later, and if any mistakes will be fixed as
appropriate.
Surabaya, 2008
On behalf of the Dean
Vice Dean I,
Prof. Win Darmanto, M.Si., Ph.D.
NIP. 131653741
.
-1-
DEPARTEMEN PENDIDIKAN NASIONAL - UNIVERSITAS AIRLANGGA FACULTY OF SCIENCE AND TECHNOLOGY
Kampus C Unair, Mulyorejo Surabaya (60115) Telp.62-31-5936501 Fax. 62-31-5936502
Number :
Attachment : Final Project Proposal Script
Subject : Seminar of Final Project Proposal
Dear
-
You are advised to be an examiner at the seminar of Final Project Proposal on
behalf of :
Student Name :
Student Identity Number :
Department :
Final Project Title :
The event will be held on :
Date :
Time :
Place :
Head of seminar enforcement :
Due to the importance of the event, please attend on time.
Thank you.
Surabaya,
Head of Department ……………
NIP.
-2-
DEPARTEMEN PENDIDIKAN NASIONAL - UNIVERSITAS AIRLANGGA FACULTY OF SCIENCE AND TECHNOLOGY
Kampus C Unair, Mulyorejo Surabaya (60115) Telp.62-31-5936501 Fax. 62-31-5936502
ACADEMIC ADVISOR APPROVAL LETTER
OF FINAL PROJECT PROPOSAL SCRIPTS
The undersigned below are the academic advisor on behalf of :
Student Name :
Student Identity Number :
Department :
Declare that the student mentioned above had:
1. Passed the Research Methodology course (MAO 302)
2. Took for > 110 credit points
3. Grade Point Average (GPA) that has been obtained……………../………..is
………………….(minimum GPA>2,0 )
Based on the data above, the student is allowed to take Final Project Proposal.
Surabaya,
Academic Advisor,
_______________________
NIP.
Notes:
1st Page : for the concerned Academic Advisor
2st Page : for the concerned Department
3st Page : for the concerned student
-3-
DEPARTEMEN PENDIDIKAN NASIONAL - UNIVERSITAS AIRLANGGA FACULTY OF SCIENCE AND TECHNOLOGY
Kampus C Unair, Mulyorejo Surabaya (60115) Telp.62-31-5936501 Fax. 62-31-5936502
FORM : SP-2
FINAL PROJECT SUPERVISOR PROPOSAL
The head of study program approves the title of Final Project on behalf of :
Student Name :
Student Identity Number :
Department :
Title :
The name of proposed Final Project supervisors are : *)
1st Supervisor :
2st Supervisor :
Please confirm your consideration.
Surabaya,
The head of Study Program………
NIP.
1st Page: for the concerned Department
2st Page: for the concerned student
*) The type of lecturer must be mentioned
-4-
FORM : SP-3
DEPARTEMEN PENDIDIKAN NASIONAL - UNIVERSITAS AIRLANGGA FACULTY OF SCIENCE AND TECHNOLOGY
Kampus C Unair, Mulyorejo Surabaya (60115) Telp.62-31-5936501 Fax. 62-31-5936502
FINAL PROJECT SUPERVISOR WILLINGNESS FORM
By this letter, we declare our willingness to be nominated as Final Project supervisor on behalf of
:
Student Name :
Student Identity Number :
Department :
Academic Advisor :
GPA :
The title of Final Project :
Number Supervisor Name Signature Date
Surabaya.
Approved by
Head of Department …………………… Head of Study Program
……….
NIP. NIP.
-5-
FORM : SP-4
DEPARTEMEN PENDIDIKAN NASIONAL - UNIVERSITAS AIRLANGGA FACULTY OF SCIENCE AND TECHNOLOGY
Kampus C Unair, Mulyorejo Surabaya (60115) Telp.62-31-5936501 Fax. 62-31-5936502
SEMINAR REPORT OF FINAL PROJECT PROPOSAL
Today :…………………Date : …………………..: Time ………………. Has been carried out
the script assessment of Final Project Proposal presented by :
Student Name :
Student Identity Number :
Department :
The Title of Final Project :
Recapitulation of seminar exam score is as follows:
Number The Name of Examiner Score
1.
2.
3.
Total Score
Seminar Score (alphabetical)
Qualified to be forwarded as a Final Project
Qualified to be forwarded as a Final Project by revised first.
Not qualified to be forwarded as a Final Project, and need to retake seminar on the same topic
Not qualified to be forwarded as a Final Project, and need to retake seminar with different
topic.
Surabaya,
Head of seminar,
NIP.
Notes :
Assessment Criteria
Score Alphabetical Score Note
75,00-100
70,00-74.99
65,00-69,99
60,00-64,99
55,00-59,99
A
AB
B
BC
C
Qualified as a Final Project
Proposal
40,00-54,99
0,00-39,99
D
E
Not qualified as a Final
Project Proposal and needs to
be retaken
The deadline of this research proposal is 12 months, after the day of seminar of Final Project
Proposal is held.
-6-
DEPARTEMEN PENDIDIKAN NASIONAL - UNIVERSITAS AIRLANGGA FACULTY OF SCIENCE AND TECHNOLOGY
Kampus C Unair, Mulyorejo Surabaya (60115) Telp.62-31-5936501 Fax. 62-31-5936502
FORM : SP-5
SCORE FORM OF SEMINAR OF FINAL PROJECT PROPOSAL
Student Name :
Student Identity Number :
Department :
Title :
1st Supervisor :
2st Supervisor :
Number The assessed component Max Score Score
1.
2.
Proposal Material
1.1 Clarity of writing and language
1.2 The truth of scientific materials / literature
1.3 Research Methodology
Presentation
2.1 Systematic presentation, including the use of tools
display (OHP, whiteboard and loudspeaker) &
punctuality of presentation
2.2 Appearance and attitude
2.3 Mastery of material and accuracy of answering
questions.
10
20
10
10
10
40
Final Project Proposal Score 100
Surabaya,
Seminar Examiner,
NIP.
Note : Upon appraisal, please submit this paper to the Head of Seminar for the final assignment
of Seminar on behalf of the student concerned.
- 7 -
Score Alphabetical Score
75,00-100
70,00-74.99
65,00-69,99
60,00-64,99
55,00-59,99
40,00-54,99
0,00-39,99
A
AB
B
BC
C
D
E
DEPARTEMEN PENDIDIKAN NASIONAL - UNIVERSITAS AIRLANGGA FACULTY OF SCIENCE AND TECHNOLOGY
Kampus C Unair, Mulyorejo Surabaya (60115) Telp.62-31-5936501 Fax. 62-31-5936502
FORM: SP-6
FINAL PROJECT PROPOSAL SCRIPT REVISION NOTES
Student Name :
Student Identity Number :
Department :
Title :
1st Supervisor :
2st Supervisor :
Note
Surabaya
Examiner,
NIP.
*) The corrected script is attached, to be revised by student.
Note
The signed approval letter submitted to the Department along with the Bound Script (in soft
cover) and legitimated by the supervisors.
-8-
DEPARTEMEN PENDIDIKAN NASIONAL - UNIVERSITAS AIRLANGGA FACULTY OF SCIENCE AND TECHNOLOGY
Kampus C Unair, Mulyorejo Surabaya (60115) Telp.62-31-5936501 Fax. 62-31-5936502
FINAL PROJECT ENFORCEMENT FLOW
Figure 1. Operational Framework for the preparation of final project proposal
-9-
STUDENT
ACADEMIC
ADVISOR
APPROVAL
THE HEAD OF
STUDY
PROGRAM
HEAD OF
DEPARTMENT
SEMINAR OF FINAL
PROJECT PROPOSAL
SUBMISSON OF
FINAL PROJECT
PROPOSAL EXAM
DID NOT PASSES
PASSED
SUPERVISORS
APPROVAL
REVISED
MONITORED AND
GUIDED BY
SUPERVISORS
STUDENT DO FINAL
PROJECT PROPOSAL
SUPERVISORS AND HEAD
OF DEPARTMENT
BOUND/DUPLICATED
DEPARTEMEN PENDIDIKAN NASIONAL - UNIVERSITAS AIRLANGGA FACULTY OF SCIENCE AND TECHNOLOGY
Kampus C Unair, Mulyorejo Surabaya (60115) Telp.62-31-5936501 Fax. 62-31-5936502
RULES OF FINAL PROJECT EXAM
1. The Final Project Exam enforced held for 90 minutes with the detail as follows: 5-10 minutes
abstract exposure, question and answer by 60-minute, and examiner discus for 5-10 minutes.
2. The Final Project Exam is lead by the head of examiner team. The head of examiner may be
not a final project supervisor.
3 The student of Final Project, needs to present the abstract of Final Project orally in 15
minutes, before the examiner give some questions.
4. The questions of examiner might be about the Final Project or other disciplines related to
final project in format.
5. The examiner is authorized to give language and writing advises and final project material.
6. After the Final Project exam is being held, there will be an examiner discussion to decide the
student passed the exam or not, and directly announced by the head of examiner, except it
has to be postponed.
7. Student will pass the examination with score at least 55 in final project material or
presentation.
8. The decision of examiner is written in final project report and submitted to the head of
department by the head of examiner. The final score that has been decided can not be
inviolated.
9. Final project exam is allowed to be attended by student, head of department, or other
lecturer.
10. Accommodation and transportation of the non-Unair supervisors is charged to the concerned
student.
11. If the supervisor could not attend the final project exam, the exam must be postponed. If the
examiner beside the supervisor could not attend the final project exam (more than 15
minutes), the head of study program might replace its position as examiner, or other lecturer
that has been asked by Department to take the position.
12. The correction note that has been signed by the examiner (form US-07) and the final project
script that has been corrected, given to the student as the correction notes for the final project
script.
13. The final project script could be bound and duplicated by the approval from supervisor and
examiner.
-10-
DEPARTEMEN PENDIDIKAN NASIONAL - UNIVERSITAS AIRLANGGA FACULTY OF SCIENCE AND TECHNOLOGY
Kampus C Unair, Mulyorejo Surabaya (60115) Telp.62-31-5936501 Fax. 62-31-5936502
14. The student that had already revised the final project needs to submit the full script (in hard
cover) for four exemplars and the article for two exemplars (exclude the final project script)
to the Department no later than 3 weeks after examination. The article will become a
proceeding thesis every each academic year (as written in final project guidance FST, Unair)
15. Things that have not been set up, will be completed later, and if any mistakes will be fixed as
appropriate.
Surabaya, 2008
On behalf of the Dean
Vice Dean I,
Prof. Win Darmanto, M.Si., Ph.D
NIP. 131653741
-11-
DEPARTEMEN PENDIDIKAN NASIONAL - UNIVERSITAS AIRLANGGA FACULTY OF SCIENCE AND TECHNOLOGY
Kampus C Unair, Mulyorejo Surabaya (60115) Telp.62-31-5936501 Fax. 62-31-5936502
Number :
Attachment. : Final Project Script
Subject : Final Project Exam Invitation
Dear,
Expect your attendance in final project examination as an examiner on behalf of:
Student Name :
Student Identity Number :
Department :
Final Project Supervisor : 1.
2.
The event will be held on :
Date :
Time :
Place :
The head of examination :
Due to the importance of the event, please attend on time.
Thank you.
Surabaya,
Head of Department……………….
- 12 -
DEPARTEMEN PENDIDIKAN NASIONAL - UNIVERSITAS AIRLANGGA FACULTY OF SCIENCE AND TECHNOLOGY
Kampus C Unair, Mulyorejo Surabaya (60115) Telp.62-31-5936501 Fax. 62-31-5936502
FORM : US-1
APPROVAL LETTER OF FINAL PROJECT EXAMINATION
The undersigned below declares that the student on behalf of :
Student Name :
Student Identity Number :
Department :
Has been completing the Final Project Script by this title :
The Final Project Script has qualified as scientific article and proper to take the final project
exam. Therefore we approve the student to take the final project exam.
Surabaya,
2nd Supervisor
-13-
DEPARTEMEN PENDIDIKAN NASIONAL - UNIVERSITAS AIRLANGGA FACULTY OF SCIENCE AND TECHNOLOGY
Kampus C Unair, Mulyorejo Surabaya (60115) Telp.62-31-5936501 Fax. 62-31-5936502
FORM: US-2
ACADEMIC ADVISOR APPROVAL LETTER
OF FINAL PROJECT EXAMINATION
The undersigned below declares that the student on behalf of :
Student Name :
Student Identity Number :
Department :
1. Had passed all of the compulsory courses
2. Had passed : ……………………..Credit Points
3. Grade Point Average (GPA) in semester ……….years……./……….
is ………………(minimum GPA > 2,0)
4. Unfinished courses are:
a. Credit Point =
b. Credit Point =
c. Credit Point =
d. Credit Point =
e. Credit Point =
By this letter, the concerned student is qualified to take the Final Project examination
Thank you.
Surabaya,
Academic Advisor,
1st Page: for the concerned Department
2st Page: for the concerned student
-14-
DEPARTEMEN PENDIDIKAN NASIONAL - UNIVERSITAS AIRLANGGA FACULTY OF SCIENCE AND TECHNOLOGY
Kampus C Unair, Mulyorejo Surabaya (60115) Telp.62-31-5936501 Fax. 62-31-5936502
FORM : US-3
FINAL PROJECT CONSULTATION CARD
Student Name :
Student Identity Number :
Department :
Final Project Title :
1st Supervisor :
2st Supervisor :
Number Date Chapter/notes Supervisor
Signature
Note : Submit this consultation card to the department along with the final project script to take
examination.
-15-
DEPARTEMEN PENDIDIKAN NASIONAL - UNIVERSITAS AIRLANGGA FACULTY OF SCIENCE AND TECHNOLOGY
Kampus C Unair, Mulyorejo Surabaya (60115) Telp.62-31-5936501 Fax. 62-31-5936502
FORM : US-4
FINAL PROJECT MATERIAL ASSESSMENT FORM
Student Name :
Student Identity Number :
Final Project Title :
Department :
1st Supervisor :
2st Supervisor :
After the assessment of Final Project, the obtained value as follows:
Number Aspect of Assessment Component
Value (0-100)
Value Weight
(%) Integrity
1.
2.
3.
4.
5.
6.
The format and completeness of the
script
Abstract
Theoretical / literary basis
Research methodology / writing
Analysis of results and discussion
Taking conclusions and suggestions
…………….
…………….
…………….
…………….
…………….
……………..
10
10
20
20
30
10
…………….
…………….
…………….
…………….
…………….
…………….
Total ……………………………. 100%
Surabaya,
Examiner
Notes :
1. Terms of assessment
Score Alphabetical Score
75,00-100
70,00-74.99
65,00-69,99
60,00-64,99
55,00-59,99
40,00-54,99
0,00-39,99
A
AB
B
BC
C
D
E
2. This form is for the final project supervisor and examiner along with the final project script.
3. After being filled, the form is submitted to the head of the examiner before the examination
held.
-16-
DEPARTEMEN PENDIDIKAN NASIONAL - UNIVERSITAS AIRLANGGA FACULTY OF SCIENCE AND TECHNOLOGY
Kampus C Unair, Mulyorejo Surabaya (60115) Telp.62-31-5936501 Fax. 62-31-5936502
FORM : US-5
FINAL PROJECT EXAMINATION ASSESSMENT FORM
Student Name :
Student Identity Number :
Department :
Final Project Title :
1st Supervisor :
2st Supervisor :
The assessment result of Final Project examination as follows :
N0 ASPECT OF ASSESSMENT COMPONENT
VALUE (0-100)
VALUE
WEIGHT
(%)
SCORE
1.
2.
3.
4.
5.
The use of language and timing on
presentation
Attitude and appearance
Mastery of scientific materials and
research methodology
Objectivity in the way of answering
question and giving opinion
Comprehensive
………………….
………………….
………………….
………………….
………………….
10
10
40
20
20
………….
………….
………….
…………
…………
Total………………………………………… 100%
Surabaya.
Note:
1. Terms of assessment Examiner,
Score Alphabetical
Score
75,00-100
70,00-74.99
65,00-69,99
60,00-64,99
55,00-59,99
40,00-54,99
0,00-39,99
A
AB
B
BC
C
D
E
2. This form is for the final project supervisor and examiner
3. Submit this form to the head of final project examiner
4. If there is component value which is equal to D score or less, should retake the final project.
- 17-
DEPARTEMEN PENDIDIKAN NASIONAL - UNIVERSITAS AIRLANGGA FACULTY OF SCIENCE AND TECHNOLOGY
Kampus C Unair, Mulyorejo Surabaya (60115) Telp.62-31-5936501 Fax. 62-31-5936502
FORM : US-6
REPORT OF FINAL PROJECT EXAMINATION
The Day : ……………………. Date : ……………….. Time……………….. had been held a
final project examination on behalf of:
Name :
Final Project Title :
Supervisor I :
Supervisor II :
By the composition of the final project examination score as follows:
A. MATERIAL OF FINAL PROJECT
Advisor I : (Score 0 – 100) ……… x (30%) = …………
Advisor II : (Score 0 – 100) ……… x (30%) = …………
Examiner I : (Score 0 – 100) ……… x (20%) = …………
Examiner II : (Score 0 – 100) ……… x (20%) = ………… + (A Score)
SCORE – A = ………….
B. PRESENTATION/FINAL PROJECT EXAMINATION
Advisor I : (Score 0 – 100) ……… x (25%) = …………
Advisor II : (Score 0 – 100) ……… x (25%) = …………
Examiner I : (Score 0 – 100) ……… x (25%) = …………
Examiner II : (Score 0 – 100) ……… x (25%) = …… …… + (B Score)
SCORE – B = ……………..
FINAL SCORE= 60% X …….. (A score) + 40 % x ……. (B score)= ……...+………=
……….
Conversion to Alphabetical Score = ………
Based on the final project score, it is declared/decided, that the student is
PASS
PASS WITH CONDITION, which have to revise the systematic and the writing, or re-taking
the hesitated/lacking experiments not later than 21 days, after this day.
NOT PASS, and needs to re-take the examination in the same or in the next period.
Surabaya,
Head of Department…………… Head of Examiner Team
DEPARTEMEN PENDIDIKAN NASIONAL - UNIVERSITAS AIRLANGGA FACULTY OF SCIENCE AND TECHNOLOGY
Kampus C Unair, Mulyorejo Surabaya (60115) Telp.62-31-5936501 Fax. 62-31-5936502
- 18 -
FORM : US-7
THE NOTE OF FINAL PROJECT REVISION
CATATAN PERBAIKAN SKRIPSI
STUDENT NAME :
STUDENT IDENTITY NUMBER :
DEPARTMENT :
TITLE OF THE FINAL PROJECT :
Supervisor I :
Supervisor II :
Correction Note :
Surabaya,
Examiner,
DEPARTEMEN PENDIDIKAN NASIONAL - UNIVERSITAS AIRLANGGA FACULTY OF SCIENCE AND TECHNOLOGY
Kampus C Unair, Mulyorejo Surabaya (60115) Telp.62-31-5936501 Fax. 62-31-5936502
*) the final project paper is attached to be revised by student whom concerned.
- 19-
APPROVAL LETTER
OF BOUNDING AND DUPLICATING THE FINAL PROJECT PAPER
The undersigned below are the supervisor and the examiner of the final project examination of:
Student Name :
Student Identity Number :
Major :
are declaring that the final project paper of the students above, by the title of:
is revised, according to the revision suggestion and the opinion of examiner in final project
examination. Therefore it is qualified to be bounded and duplicated appropriate with applicable
rules.
Surabaya,
Supervisor II/Examiner II, Supervisor I/Examiner I
Examiner IV, Examiner III
Notes:
A. The final project paper is duplicated in 4 copies with details:
1) A copy for department
2) A copy for faculty library
3) A copy for university Library
4) A copy for student whom concerned
B. First sheet: for Department
Second sheet: for student whom concerned
DEPARTEMEN PENDIDIKAN NASIONAL - UNIVERSITAS AIRLANGGA FACULTY OF SCIENCE AND TECHNOLOGY
Kampus C Unair, Mulyorejo Surabaya (60115) Telp.62-31-5936501 Fax. 62-31-5936502
- 20 -
FINAL PROJECT WRITING AND EXAMINATION
ENFORCEMENT FLOW
Figure 2. Procedure of Procedure of Implementation an Examination of Final Project
-21-
FINAL
PROJECT
PAPER
LETTER OF OFFICIAL
STATEMENT FROM ACADEMIC
ADVISOR
TAKING THE FINAL PROJECT
EXAMINATION
CONSULTATION
WITH
SUPERVISOR
FINAL
DEPARTMENT
FINAL
PROJECT
EXAMINTION
PERBAIKAN
(MAKSIMAL 3
MINGGU)
TIDAK LULUS
BOUNDED + DUPLICATED
FORM OF APPROVAL FROM
SUPERVISOR AND
EXAMINER
SIGNED BY
- SUPERVISOR
- HEAD OF DEPARTMENT
- DEAN OF FST
PASS THE FINAL PROJECT
DEPARTEMEN PENDIDIKAN NASIONAL - UNIVERSITAS AIRLANGGA FACULTY OF SCIENCE AND TECHNOLOGY
Kampus C Unair, Mulyorejo Surabaya (60115) Telp.62-31-5936501 Fax. 62-31-5936502
FORM : US-8
LETTER OF OFFICIAL STATEMENT
ABOUT EXEMPTION OF BOOK BORROWING
The undersigned below, is declaring that:
Student Name :
Student Identity Number :
Major :
Date of Examination :
Is already did not have borrowing / replacement of books / journals / magazines owned FST
UNAIR library.
This letter is used to complete of the requirements of bachelor graduation of FST UNAIR.
Surabaya,
Librarian of
FST UNAIR
- 22 -
DEPARTEMEN PENDIDIKAN NASIONAL - UNIVERSITAS AIRLANGGA FACULTY OF SCIENCE AND TECHNOLOGY
Kampus C Unair, Mulyorejo Surabaya (60115) Telp.62-31-5936501 Fax. 62-31-5936502
FORM : US-8
LETTER OF OFFICIAL STATEMENT
ABOUT EXEMPTION OF BOOK BORROWING
The undersigned below, is declaring that:
Student Name :
Student Identity Number :
Major :
Date of Examination :
Is already did not have borrowing / replacement of laboratory properties nor books / journals /
magazines owned by study program of bachelor of Mathematics of FST Unair.
This letter is used to complete of the requirements of bachelor graduation of FST UNAIR.
Surabaya, _ _ - _ _ - 200_
Librarian of The Person in charge of
Dept. of Mathematics FST Unair Computer Laboratory of Dep. Mat FST Unair
Ir. Elly Ana, M.Si Auli Damayanti, S.Si, M.Si
NIP. 131837441 NIP. 132306158
Head of Study Program S-1 Matematika
FST Unair
Dra. Inna Kuswandari, M.Si
NIP. 131933022
DEPARTEMEN PENDIDIKAN NASIONAL - UNIVERSITAS AIRLANGGA FACULTY OF SCIENCE AND TECHNOLOGY
Kampus C Unair, Mulyorejo Surabaya (60115) Telp.62-31-5936501 Fax. 62-31-5936502
- 22 -
DEPARTEMEN PENDIDIKAN NASIONAL - UNIVERSITAS AIRLANGGA FACULTY OF SCIENCE AND TECHNOLOGY
Kampus C Unair, Mulyorejo Surabaya (60115) Telp.62-31-5936501 Fax. 62-31-5936502
DEPARTEMEN PENDIDIKAN NASIONAL - UNIVERSITAS AIRLANGGA FACULTY OF SCIENCE AND TECHNOLOGY
Kampus C Unair, Mulyorejo Surabaya (60115) Telp.62-31-5936501 Fax. 62-31-5936502
DEPARTEMEN PENDIDIKAN NASIONAL - UNIVERSITAS AIRLANGGA FACULTY OF SCIENCE AND TECHNOLOGY
Kampus C Unair, Mulyorejo Surabaya (60115) Telp.62-31-5936501 Fax. 62-31-5936502
DEPARTEMEN PENDIDIKAN NASIONAL - UNIVERSITAS AIRLANGGA FACULTY OF SCIENCE AND TECHNOLOGY
Kampus C Unair, Mulyorejo Surabaya (60115) Telp.62-31-5936501 Fax. 62-31-5936502
DEPARTEMEN PENDIDIKAN NASIONAL - UNIVERSITAS AIRLANGGA FACULTY OF SCIENCE AND TECHNOLOGY
Kampus C Unair, Mulyorejo Surabaya (60115) Telp.62-31-5936501 Fax. 62-31-5936502
DEPARTEMEN PENDIDIKAN NASIONAL - UNIVERSITAS AIRLANGGA FACULTY OF SCIENCE AND TECHNOLOGY
Kampus C Unair, Mulyorejo Surabaya (60115) Telp.62-31-5936501 Fax. 62-31-5936502