MINUTES OF SENATE CONSIDERATION/APPROVAL

NO. /G.10/ FBM-UTAMA/XI/2012

On this day, .............. date..... moon........... in 2013, the Faculty Senate................ Widyatama
University which was attended by a number of .... ( ........ ) a member of the Senate as the
attendance list attached, has conducted a meeting granting consideration to:

Nama :

NIP/NIDN : /

Rank, space class :

Job Title, TMT : /

Work units : Faculty........................................

for promotion of academic/functional positions of lecturers to ............... in the Field of Science /

Courses:

- ………………………… ;
- ………………………… .

The results of the consideration are given based on an assessment of the integrity,
performance, responsibility, and manners in campus life that have been demonstrated by the
person concerned in carrying out the Tridharma of Higher Education, since the person
concerned occupied the last functional position until the meeting to give this consideration /
approval was held.

The minutes are actually made to be used as they should be.

London, 2013

Secretary of the Senate, Chairman of the Faculty

Senate.........................,
…………………………………………….. ………………………………………

NIP. ……………………………….. NIP. …………………………………..