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Y t h . P e m i m p i n P e r g u r u a n T i n g g i d i l i n g k u n g a n L L D I K T I W i l a y a h V I I J a w a T i m u r

M e n g a c u p a d a P e r m e n d i k b u d N o m o r 7 T a h u n 2 0 2 0 t e n t a n g P e n d i r i a n , P e r u b a h a n , P e m b u b a r a n P T N d a n P e n d i r i a n , P e r u b a h a n , P e n c a b u t a n I z i n P T S s e r t a P e r s y a r a t a n d a n P r o s e d u r P e n d i r i a n d a n P e r u b a h a n P e r g u r u a n T i n g g i S w a s t a , d a n P e m b u k a a n P r o d i p a d a P e r g u r u a n T i n g g i T a h u n 2 0 2 0 d a n S u r a t D i r e k t u r J e n d e r a l P e n d i d i k a n T i n g g i N o m o r 0 0 8 0 / E . E 3 / O T / 2 0 2 1 t a n g g a l 1 4 J a n u a r i 2 0 2 1 s e r t a S u r a t D i r e k t u r J e n d e r a l P e n d i d i k a n V o k a s i N o m o r 0 2 5 1 / D / O T / 2 0 2 I t a n g g a l 2 5 J a n u a r i 2 0 2 1 , L e m b a g a L a y a n a n P e n d i d i k a n T i n g g i W i l a y a h V I I k e m b a l i m e m b e r i k a n k e s e m p a t a n u s u l R e k o m e n d a s i P e m b u k a a n P r o g r a m S t u d i d a n P e n d i r i a n P T S B a r u { A k a d e m i k d a n V o k a s i ) d e n g a n k e t e n t u a n s e b a g a i b e r i k u t :

1 . M e k a n i s m e P e r s y a r a t a n d a n P e n g a j u a n u s u l d i l a k u k a n s e c a r a d a r i n g m e l a l u i l a m a n http: "silemkerma. ristekdikti. go. id s a m p a i d e n g a n 3 1 D e s e m b e r 2 0 2 1 ;

2 . P e n g a j u a n r e k o m e n d a s i L L D I K T I W i l a y a h V I I u n t u k p e n g u s u l a n Pendirian PTS baru dan Pembukaan Prodi (PT Akademik dan Vokasi) hanya dilakukan secara daring melalui laman http://prodiharu.kopertis7.go. id d a n d o k u m e n d a p a t d i u n g g a h s a m p a i d e n g a n 10 Desember 2021;

3 . M e k a n i s m e p e n g u s u l a n d a n s e m u a i n f o r m a s i / p e n g u m u m a n s e b a g a i m a n a d i m a k s u d p a d a a n g k a 2 , t e r c a n t u m d a l a m d o k u m e n y a n g d a p a t d i u n d u h p a d a m e n u I n f o r m a s i d a n U n d u h M a n u a l p a d a l a m a n http:'/prodibaru. kopertis 7. go. i d ' U n d u h - M a n u a l . L L D I K T I W i l a y a h V I I t i d a k m e m b e r i k a n l a y a n a n t a t a p m u k a ;

4 . B a g i p e n g u s u l y a n g t e l a h k e d a l u w a r s a r e k o m e n d a s i n y a , d a p a t m e n g u s u l k a n u l a n g m e l a l u i a k u n m a s i n g - m a s i n g p e n g u s u l p a d a l a m a n hUp://prodibaru.kopertis7.go. id:

5 . L L D I K T I W i l a y a h V I I b e r h a k m e n o l a k p e r m o h o n a n p e m b e r i a n a k u n m a u p u n r e k o m e n d a s i y a n g t i d a k m e m e n u h i k e t e n t u a n p e r s y a r a t a n m i n i m a l a t a u k e t e n t u a n l a i n n y a y a n g d i t e t a p k a n o l e h D i r e k t u r J e n d e r a l P e n d i d i k a n T i n g g i d a n D i r e k t u r J e n d e r a l P e n d i d i k a n V o k a s i . P e r m o h o n a n r e k o m e n d a s i y a n g d i t o l a k d a p a t d i u s u l k a n u l a n g s e t e l a h d i l e n g k a p i m e l a l u i a k u n m a s i n g - m a s i n g p e n g u s u l ;

6 . S u r a t p e r m o h o n a n r e k o m e n d a s i b e s e r t a d o k u m e n p e r s y a r a t a n a k a n d i t e l a a h o l e h L L D I K T I W i l a y a h V T I s e s u a i d e n g a n t u g a s d a n k e w e n a n g a n n y a ;

7 . B i l a d i p e r l u k a n L L D I K T I W i l a y a h V I I a k a n m e n g u n d a n g P e r g u r u a n T i n g g i / B a d a n P e n y e l e n g g a r a P e n g u s u l u n t u k m e m p r e s e n t a s i k a n p e n g u s u l a n n y a , d a n t i n j a u a n l a p a n g a n ( v i s i t a s i ) b a i k s e c a r a l a n g s u n g m a u p u n d a r i n g ;

8 . L L D I K T I W i l a y a h V I I a k a n m e n e r b i t k a n S u r a t R e k o m e n d a s i b i l a b e r d a s a r k a n b a s i l v e r i f i k a s i d a n t e l a a h s u d a h l a y a k u n t u k d i u s u l k a n k e D i r e k t u r J e n d e r a l P e n d i d i k a n T i n g g i / D i r e k t u r J e n d e r a l P e n d i d i k a n V o k a s i ;

9 . P e n g u s u l a n R e k o m e n d a s i P e r u b a h a n P T S , u n t u k s e m e n t a r a d i u s u l k a n m e l a l u i U n i t L a y a n a n T e r p a d u L L D I K T I W i l a y a h V T I a t a u m e l a l u i e m a i l k s b k l @ k o p e r t i s 7 . g o . i d d e n g a n m e n g i r i m k a n d o k u m e n p e r s y a r a t a n ( t e r l a m p i r ) ;

1 0 . R e k o m e n d a s i y a n g t e l a h d i k e l u a r k a n o l e h L L D I K T I W i l a y a h V I I b e r l a k u p a l i n g l a m a 1 ( s a t u ) t a h u n s e j a k t a n g g a l d i t e r b i t k a n ;

1 1 . J i k a t e r d a p a t p e r u b a h a n p e r a t u r a n p a d a S i l e m k e r m a a k a n d i i n f o r m a s i k a n l e b i h l a n j u t .

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T e m b u s a n : 1 . D i r e k t u r J e n d e r a l P e n d i d i k a n T i n g g i 2 . D i r e k t u r J e n d e r a l P e n d i d i k a n V o k a s i

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J a l a n J e n d e r a l S u d i r m a n , S e n a y a n , J a k a r t a 1 0 2 7 0 T e l e p o n ( 0 2 1 ) 5 7 9 4 6 1 0 4 , P u s a t P a n g g i l a n U L T D I K T I 1 2 6

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N o m o r : 0 0 8 0 / E . E 3 / O T / 2 0 2 1 1 4 J a n u a r i 2 0 2 1 L a m p i r a n : S a t u b e r k a s H a l : U s u i P e n d i r i a n d a n P e r u b a h a n P e r g u r u a n T i n g g i S w a s t a

s e r t a P e m b u k a a n P r o g r a m S t u d i T a h u n 2 0 2 1

Y t h . 1 . P e m i m p i n P e r g u r u a n T i n g g i P e n y e l e n g g a r a P e n d i d i k a n A k a d e m i k 2 . P e m i m p i n B a d a n H u k u m P e n y e l e n g g a r a P T P e n y e l e n g g a r a P e n d i d i k a n A k a d e m i k 3 . K e p a l a L e m b a g a L a y a n a n P e n d i d i k a n T i n g g i ( L L D i k t i ) W i l a y a h I - X V I

S e b a g a i b a g i a n d a r i p e l a k s a n a a n P e r a t u r a n M e n t e r i P e n d i d i k a n d a n K e b u d a y a a n N o m o r 0 7

T a h u n 2 0 2 0 t e n t a n g P e n d i r i a n , P e r u b a h a n , P e m b u b a r a n P e r g u r u a n T i n g g i N e g e r i , d a n

P e n d i r i a n , P e i - u b c i h a n , P e n c a b u t a n I z i n P e r g u m a n T i n g g i S w a s t a . K e m e n t e r i a n P e n d i d i k a n

d a n K e b u d a y a a n m e l a l u i D i r e k t o r a t J e n d e r a l P e n d i d i k a n T i n g g i k e m b a l i m e m b u k a

k e s e m p a t a n u s u l p e n d i r i a n dan p e i i x b a h a n P e r g u m a n T i n g g i S w a s t a P e n y e l e n g g a r a

P e n d i d i k a n A k a d e m i k ( P T S A k a d e m i k ) s e r t a p e m b u k a a n P r o g r a m S t u d i P e n d i d i k a n

A k a d e m i k ( P S A k a d e m i k ) p a d a P e r g u r u a n T i n g g i P e n y e l e n g g a r a P e n d i d i k a n A k a d e m i k ( P T

A k a d e m i k ) T a h i m 2 0 2 1 .

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s i l e m k e r m a . k e m d i k b u d . g o . i d m u l a i 1 8 J a n u a r i 2 0 2 1 h i n g g a 3 1 D e s e m b e r 2 0 2 1 .

K e t e r a n g a n l e b i h l a n j u t t e r k a i t p e n y a m p a i a n u s u l a n s e b a g a i m a n a t e r l a m p i r , n a m u n b i l a

m a s i h a d a h a l y a n g k u r a n g j e l a s , d a p a t d i k o o r d i n a s i k a n d e n g a n D i r e k t o r a t K e l e m b a g a a n ,

D i t j e n P e n d i d i k a n T i n g g i K e m d i k b u d .

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Usui Pendirian dan Peiiibahan Pergnman Tinggi Swasta Penyelenggara Pendidikan Akademik (PTS Akademik) serta Pembukaan Program Studi Pendidikan Akademik

(PS Akademik) pada Pergnman Tinggi Penyelenggara Pendidikan Akademik (PT Akademik) Tahun 2021

1 . S e s u a i d e n g a n P e r a t u r a n M e n t e r i P e n d i d i k a n d a n K e b u d a y a a n N o m o r 4 5 T a l m n 2 0 1 9 t e n t a n g O r g a n i s a s i d a n T a t a K e r j a K e m e n t e r i a n P e n d i d i k a n d a n K e b u d a y a a n , m a k a p a d a p e r i o d e p e n g u s u l a n t a l i u n 2 0 2 1 i n i , u s u l P e n d i r i a n d a n P e r u b a h a n P T S A k a d e m i k s e r t a P e m b u k a a n P S A k a d e m i k p a d a P T A k a d e m i k a k a n d i p r o s e s o l e h D i r e k t o r a t J e n d e r a l P e n d i d i k a n T i n g g i , s e d a n g k a n u s u l P e n d i r i a n d a n P e r u b a l i a n P T S P e n y e l e n g g a r a P e n d i d i k a n V o k a s i ( P T S V o k a s i ) s e r t a P e m b u k a e m P r o g r a m S t u d i P e n d i d i k a n V o k a s i ( P S V o k a s i ) p a d a P T P e n y e l e n g g a r a P e n d i d i k a n V o k a s i ( P T V o k a s i ) a k a n d i p r o s e s o l e h D i r e k t o r a t J e n d e r a l P e n d i d i k a n V o k a s i .

2 . S e b a g a i m a n a t a h u n s e b e l u m n y a , u s u l p e n d i r i a n d a n p e r u b a l i a n P T S A k a d e m i k s e r t a p e m b u k a a n P S A k a d e m i k a t a u P S P r o f e s i p a d a P T A k a d e m i k t a h u n 2 0 2 1 i n i d i l a k u k a n s e c a r a o n / i n e / d a r i n g m e l a l u i l a m a n s i l e m k e n n a . k e m d i k b u d . g o . i d d a n d o k u m e n d a p a t d i u n g g a h s e t i a p h a r i m u l a i 1 8 J a n u a r i 2 0 2 1 s a m p a i d e n g a n 3 1 D e s e m b e r 2 0 2 1 .

3 . M e k a n i s m e d a n p e r s y a r a t a n u s u l s e b a g a i m a n a d i m a k s u d p a d a a n g k a 2 d a p a t d i u n d u h p a d a m e n u P a n d u a n l a m a n s i l e m k e n n a . k e m d i k b u d . g o . i d . b e r u p a : • K e p u t u s a n D i r e k t u r J e n d e r a l P e n d i d i k a n T i n g g i t e n t a n g P e r s y a i a t a n d a n P r o s e d u r

P e n d i r i a n P T S P e n y e l e n g g a r a P e n d i d i k a n A k a d e m i k , P e r u b a l i a n P T S P e n y e l e n g g a r a P e n d i d i k a n A k a d e m i k d a n / a t a u P e m b u k a a n P S A k a d e m i k a t a u P S P r o f e s i p a d a P T P e n y e l e n g g a r a P e n d i d i k a n A k a d e m i k T a l i u n 2 0 2 0 a t a u T a h u n 2 0 2 1 ;

• I n s t r u m e n P e m e n u h a n S y a r a t M i n i m u m A k i e d i t a s i P e m b u k a a n P r o g r a m S t u d i P e n d i d i k a n A k a d e m i k a t a u P e n d i d i k a n P r o f e s i T a h u n 2 0 2 0 a t a u T a h u n 2 0 2 1 .

4 . E v a l u a s i a t a s u s u l s e b a g a i m a n a d i m a k s u d p a d a a n g k a 2 d i l a k u k a n d e n g a n k e t e n t u a n : a . E v a l u a s i d i l a k u k a n b e r d a s a r k a n t a h a p a n b e r i k u t :

• E v a l u a s i a s p e k c a l o n d o s e n d i l a k u k a n o l e h D i t j e n P e n d i d i k a n T i n g g i • E v a l u a s i a s p e k n o n d o s e n d i l c i k u k a n o l e h L L D i k t i d i w i l a y a h p e n g u s u l b e r a d a ;

b . H a s i l e v a l u a s i a k a n d i i n f o r m a s i k a n m e l a l u i l a m a n s i l e m k e r m a . k e m d i k b u d . g o . i d p a d a a k u n m a s i n g - m a s i n g p e n g u s u l ;

c . U n t u k h a s i l e v a l u a s i u s u l y a n g d i n y a t a k a n ' B e l u m D i s e t u j u i ' , j i k a m a s i h b e r m i n a t , p e n g u s u l d a p a t m e n g u n g g a h k e m b a l i u s u l y a n g t e l a h d i p e r b a i k i t e r s e b u t p a l i n g b a n y a k 3 ( t i g a ) k a l i d a l a m 1 ( s a t u ) t a h u n p e r i o d e p e n g u s u l a n y a n g s a m a ;

( D e t a i l p e r s y a r a t a n d a n p r o s e d u r t e i p e r i n c i p a d a l a m p i r a n K e p u t u s a n D i r e k t u r J e n d e r a l P e n d i d i k a n T i n g g i s e b a g a i m a n a d i m a k s u d d a l a m a n g k a 3 d i a t a s )

5 . P e n g u s u l a n p e n d i r i a n d a n p e r u b a h a n P T S A k a d e m i k s e r t a p e m b u k a a n P S A k a d e m i k p a d a P T A k a d e m i k t a h u n 2 0 2 1 m a s i h m e n g i k u t i k e t e n t u a n S u r a t E d a r a n M e n r i s t e k d i k t i N o m o r 2 / M / S E / I X / 2 0 1 6 t a n g g a l 2 1 S e p t e m b e r 2 0 1 6 t e n t a n g P e n d i r i a n P e r g u r u a n T i n g g i B a r u d a n P e m b u k a a n P r o g r a m S t u d i , y a i t u : a . P e n d i r i a n p e r g u r u a n t i n g g i b a r u y a n g m e n y e l e n g g a r a k a n p e n d i d i k a n a k a d e m i k

( u n i v e r s i t a s / i n s t i t u t / s e k o l a h t i n g g i ) m a s i h d i l a k u k a n m o r a t o r i u m s a m p a i b a t a s w a k t u y a n g a k a n d i t e n t u k a n k e m u d i a n ;

b . P e n d i r i a n p e r g u r u a n t i n g g i b a r u h a n y a d i b e r i k a n u n t u k p e r g u r u a n t i n g g i v o k a s i ( p o l i t e k n i k d a n a k a d e m i ) d a n i n s t i t u t t e k n o l o g i ;

c. P e m b u k a a n p r o g r a m s t u d i d i b e r i k a n u n t u k p r o g r a m s t u d i d i hidang science, technology, engineering, dan mathematics ( STEM);

d. P e n d i r i a n p e r g u r u a n t i n g g i d a n p e m b u k a a n p r o g r a m s t u d i s e b a g a i m a n a d i m a k s u d p a d a h u r u f a , h u r u f b , d a n h u i - u f c d a p a t d i k e c u a l i k a n b a g i : • d a e r a h t e r d e p a n , t e r l u a r , d a n t e r t i n g g a l ( 3 T ) ; • d a e r a h t e r t e n t u d e n g a n k o n d i s i d a n k e b u t u h a n k h u s u s

P e m b u k a a n P S A k a d e m i k a t a u P S P r o f e s i p a d a P T A k a d e m i k t a h u n 2 0 2 1 d a p a t d i u s u l k a n d e n g a n k e t e n t u a n s e b a g a i b e r i k u t : a . P r o g r a m s t u d i p a d a p r o g r a m s a r j a n a h a n y a u n t u k p r o g r a m s t u d i S T E M d a n t i d a k s e d a n g

d i m o r a t o r i u m ; b . P r o g r a m s t u d i p r o g r a m M a g i s t e r d a n D o k t o r t e r b u k a u n t u k s e m u a b i d a n g i l m u , k e c u a l i

y a n g s e d a n g d i m o r a t o r i u m ; c . P e r g u r u a n T i n g g i d a p a t m e n g a j u k a n u s u l p e n a m b a h a n n a m a p r o g r a m s t u d i b a r u

( n o m e n k l a t u r b a r u ) b e r s a m a a n d e n g a n p e m b u k a a n p r o g r a m s t u d i d i m a k s u d ; d . B a g i P T A k a d e m i k y a n g t e l a h m e m i l i k i a k r e d i t a s i d e n g a n p e r i n g k a t B a i k S e k a l i a t a u

U n g g u l , d a p a t m e n g u s u l k a n p e m b u k a a n P S A k a d e m i k m e l a l u i k e r j a s a m a . e . B a g i P T A k a d e m i k y a n g t e l a h m e m i l i k i p r o g r a m s t u d i K e p e r a w a t a n p r o g r a m D i p l o m a

T i g a d e n g a n p e r i n g k a t a k r e d i t a s i m i n i m a l B a t a u B a i k S e k a l i d a p a t m e n g u s u l k a n p e m b u k a a n p r o g r a m s t u d i K e p e r a w a t a n p r o g r a m S a r j a n a b e r s a m a a n d e n g a n P e n d i d i k a n P r o f e s i N e r s p r o g r a m P r o f e s i ; d a n

f . B a g i P T A k a d e m i k y a n g t e l a h m e m i l i k i p r o g r a m s t u d i K e b i d a n a n p r o g r a m D i p l o m a T i g a d e n g a n p e r i n g k a t a k r e d i t a s i m i n i m a l B a t a u B a i k S e k a l i d a p a t m e n g u s u l k a n p e m b u k a a n p r o g r a m s t u d i K e b i d a n a n p r o g r a m S a r j a n a b e r s a m a a n d e n g a n P e n d i d i k a n P r o f e s i B i d a n p r o g r a m P r o f e s i

P e r u b a h a n P T S A k a d e m i k t a h u n 2 0 2 1 d a p a t d i u s u l k a n d e n g a n k e t e n t u a n s e b a g a i b e r i k u t : a . J i k a p e r u b a h a n P T S m e r u p a k a n p e r u b a h a n b e n t u k P T S y a n g m e m e r l u k a n p e n a m b a h a n

p r o g r a m s t u d i b a r u , u s u l a n p e n a m b a h a n p r o g r a m s t u d i t e r s e b u t h a n y a u n t u k m e m e n u h i j u m l a h m i n i m u m p r o g r a m s t u d i u n t u k b e n t u k P T S A k a d e m i k y a n g d i u s u l k a n ;

b . J i k a p e r u b a h a n P T S m e r u p a k a n p e r u b a h a n b e n t u k m e n j a d i P T S A k a d e m i k b e r b e n t u k U n i v e r s i t a s m a k a p r o g r a m s t u d i p r o g r a m s a r j a n a y a n g d a p a t d i u s u l k a n s e b a g a i a k i b a t p e r u b a h a n t e r s e b u t a d a l a h p r o g r a m s t u d i S T E M d a n t e t a p m e n g i k u t i k o m p o s i s i m i n i m a l 3 ( t i g a ) p r o g r a m s t u d i d a r i r u m p u n i l m u a l a m , r u m p u n i l m u f o i m a l , d a n / a t a u r u m p u n i l m u t e r a p a n d a n 2 ( d u a ) p r o g r a m s t u d i d a r i r u m p i m i l m u I n u n a n i o r a , r u m p u n i l m u s o s i a l , d a n / a t a u r u m p u n i l m u t e r a p a n ;

c . J i k a p e r u b a l i a n P T S m e r u p a k a n p e r u b a h a n b e n t u k m e n j a d i P T A k a d e m i k b e r b e n t u k i n s t i t u t d a n s e k o l a h t i n g g i m a k a p r o g r a m s t u d i y a n g d a p a t d i u s u l k a n s e b a g a i a k i b a t d a r i p e r u b a h a n t e r s e b u t h a n y a p r o g r a m s t u d i S T E M p r o g r a m s a r j a n a ;

d . J i k a p e r u b a h a n P T S b e r u p a p e n g g a b u n g a n 2 ( d u a ) a t a u l e b i h m e n j a d i 1 ( s a t u ) P T S A k a d e m i k b a r u m a k a P S A k a d e m i k y a n g d a p a t d i u s u l k a n s e b a g a i a k i b a t d a r i p e r u b a h a n t e r s e b u t t i d a k h a n y a p r o g r a m s t u d i S T E M p r o g r a m s a r j a n a , d e n g a n j u m l c i h d a n k o m p o s i s i p r o g r a m s t u d i s e s u a i d e n g a n k e t e n t u a n p e r a t u r a n p e r u n d a n g - u n d a n g a n ;

e . J i k a p e i - u b a l i a n P T S b e r u p a p e n y a t u a n 1 ( s a t u ) P T S a t a u l e b i h k e d a l a m 1 ( s a t u ) P T S A k a d e m i k l a i n , j i k a d i p e r l u k a n , u s u l a n p e n a m b a l i a n P S A k a d e m i k p r o g r a m s a r j a n a t i d a k h a n y a p r o g r a m s t u d i S T E M ;

f . U s u i p e r u b a l i a n n a m a P T S A k a d e m i k , u s u l p e r u b a l i a n l o k a s i P T S A k a d e m i k , d a n u s u l a l i h k e l o l a P T S A k a d e m i k t i d a k d a p a t d i l a k u k a n b e r s a m a a n d e n g a n u s u l p e n a m b a h a n P S A k a d e m i k d a n u s u l p e r u b a h a n P T S l a i n n y a ;

g . U s u i p e r u b a h a n b e n t u k P T S d a r i P T S V o k a s i b e r b e n t u k P o l i t e k n i k m e n j a d i P T S A k a d e m i k t i d a k d i p e r k e n a n k a n ; d a n

h . U s u i p e r u b a l i a n P T S t i d a k d a p a t d i l a k u k a n b e r s a m a a n d e n g a n u s u l P r o g r a m P e m b i n a a n P e r g u r u a n T i n g g i S w a s t a ( P P - P T S ) .

8 . P e m b u k a a n P S A k a d e m i k d a n P S P e n d i d i k a n P r o f e s i s e b a g a i m a n a d i m a k s u d d i b a w a h i n i m a s i h d i b e r l a k u k a n m o r a t o r i u m :

a . P r o g r a m s t u d i P r o f e s i D o k t e r G i g i , b e r d a s a r k a n s u r a t D i r e k t u r J e n d e r a l P e n d i d i k a n T i n g g i N o m o r 2 0 3 0 / E / T / 2 0 1 1 T a n g g a l 2 3 D e s e m b e r 2 0 1 1 t e n t a n g P e n g h e n t i a n P r o s e s P e n g a j u a n u s u l P e m b u k a a n P r o g r a m S t u d i P e n d i d i k a n D o k t e r G i g i ( S I ) ;

b . P r o g r a m s t u d i P r o f e s i D o k t e r , b e r d a s a r k a n S u r a t E d a r a n M e n t e r i R i s e t , T e k n o l o g i , d a n P e n d i d i k a n T i n g g i N o m o r l / M / S E m / 2 0 1 6 t a n g g a l 1 4 J u n i 2 0 1 6 t e n t a n g M o r a t o r i u m P e m b u k a a n P r o g r a m S t u d i P e n d i d i k a n D o k t e r ;

c . P r o g r a m s t u d i k e p e r a w a t a n ( p r o g r a m s a r j a n a ) , p r o g r a m s t u d i k e b i d a n a n ( p r o g r c u n s a r j a n a ) , b e r d a s a i k a n s u r a t D i r e k t u r J e n d e r a l P e n d i d i k a n T i n g g i N o m o r 4 0 0 / D / T / 2 0 0 9 tanggal 2 0 M a r e t 2 0 0 9 T e n t a n g P e n d i r i a n P r o g r a m P r o g r a m S t u d i K e p e r a w a t a n d a n K e b i d a n a n , d a n s u r a t D i r e k t u r J e n d e r a l P e n d i d i k a n T i n g g i N o m o r 1 6 4 3 / E / T / 2 0 1 1 t a n g g a l 1 8 O k t o b e r 2 0 1 1 T e n t a n g M o r a t o r i u m P r o g r a m - P r o g r a m S t u d i B i d a n g K e s e h a t a n ;

d . P r o g r a m s t u d i k e s e h a t a n m a s y a i a k a t p r o g r a m s a r j a n a , b e r d a s a r k a n s u r a t D i r e k t u r J e n d e r a l P e n d i d i k a n T i n g g i N o m o r 1 4 3 6 / D / T / 2 0 1 0 t a n g g a l 2 4 N o p e m b e r 2 0 1 0 t e n t a n g P e n y e l e n g g a r a a n P r o g r a m S t u d i I l m u K e s e h a t a n M a s y a r a k a t P r o g r a m S a r j a n a ( S I ) ;

e . P r o g r a m s t u d i f a r m a s i p r o g r a m s a r j a n a , b e r d a s a r k a n s u r a t E d a r a n M e n r i s t e k d i k t i N o m o r 0 1 / M / S E / V I E 2 0 1 9 t a n g g a l 3 1 J u l i 2 0 1 9 t e n t a n g M o r a t o r i u m P e m b u k a a n P r o g r a m S t u d i F a r m a s i P r o g r a m S a r j a n a ( S I ) ; d a n

f . P r o g r a m S t u d i K e n o t a r i a t a n P r o g r a m M a g i s t e r b e r d a s a r k a n s u r a t E d a r a n M e n r i s t e k d i k t i N o m o r 0 3 / M / S E m i E 2 0 1 9 t a n g g a l 1 6 S e p t e m b e r 2 0 1 9 t e n t a n g M o r a t o r i u m P e m b u k a a n P r o g r a m S t u d i K e n o t a r i a t a n P r o g r a m M a g i s t e r

9 . P e r u b a l i a n s t a t u s P T S A k a d e m i k m e n j a d i P e r g u r u a n T i n g g i N e g e r i ( P e n e g e r i a n ) m a s i h d i m o r a t o r i u m b e r d a s a r k a n s u r a t D i r e k t u r J e n d e r a l P e n d i d i k a n T i n g g i N o m o r 7 3 3 / E . E 2 / D T / 2 0 1 3 t a n g g a l 2 9 J u l i 2 0 1 3 t e n t a n g P e n g h e n t i a n S e m e n t a r a ( m o r a t o r i u m ) P e r u b a l i a n S t a t u s P T S m e n j a d i P T N ( P e n e g e r i a n ) .

1 0 . D i r e k t o r a t J e n d e r a l P e n d i d i k a n T i n g g i a k a n m e n g h e n t i k a n d a n m e m b a t a l k a n p r o s e s u s u l P e n d i r i a n P T S A k a d e m i k d a n P e r u b a h a n P T S A k a d e m i k s e r t a P e m b u k a a n P S A k a d e m i k a t a u P S P r o f e s i p a d a P T A k a d e m i k t a l i u n 2 0 2 1 a p a b i l a d o k u m e n d a n i n f o r m a s i y a n g d i b e r i k a n t i d a k b e n a r a t a u p e n g u s u l t e l a h m e l a k u k a n t i n d t i k a n y a n g t i d a k s e s u a i d e n g a n k e t e n t u a n p e r a t u r a n p e r u n d a n g - u n d a n g a n .

1 1 . D i r e k t o r a t J e n d e r a l P e n d i d i k a n T i n g g i t i d a k m e m b e r i k a n p e l a y a n a n t a t a p m u k a d a n / a t a u t e l e p o n y a n g b e r k a i t a n d e n g a n p e n g u s u l a n P e n d i r i a n P T S A k a d e m i k d a n P e r u b a h a n P T S A k a d e m i k s e r t a p e m b u k a a n P S A k a d e m i k a t a u P S P r o f e s i p a d a P T A k a d e m i k t a h u n 2 0 2 1 . S e m u a i n f o r m a s i / p e n g u m u m a n t e r k a i t p r o s e s d a n h a s i l p e n a n g a n a n u s u l h a n y a d a p a t d i a k s e s m e l a l u i a k u n m a s i n g - m a s i n g p e n g u s u l p a d a l a m a n s i l e m k e r m a . k e m d i k b u d . g o . i d .

1 2 . S e l u n i h p r o s e s u s u l P e n d i r i a n P T A k a d e m i k d a n P e r u b a l i a n P T S A k a d e m i k s e r t a P e m b u k a a n P S A k a d e m i k a t a u P S P r o f e s i p a d a P T A k a d e m i k t a l i u n 2 0 2 1 t i d a k d i k e n a k a n b i a y a a p a p u n .

KEMENTERIAN PENDIDIKAN DAN KEBUDAYAAN DIREKTORAT JENDERAL PENDIDIKAN VOKASI

J a l a n J e n d e r a l S u d i r m a n , G e d u n g E L a n t a i I I I , S e n a y a n , J a k a r t a 1 0 2 7 0 T e l e p o n ( 0 2 1 ) 5 7 2 5 0 6 1 , F a k s i m i l e ( 0 2 1 ) 5 7 2 5 4 8 4 , T r o m o l P e s 1 3 0 3

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N o m o r : 0 2 5 1 / D / O T / 2 0 2 1 2 5 J a n u a r i 2 0 2 1 P e r i h a l : U s u i P e n d i r i a n d a n P e r u b a h a n P e r g u m a n T i n g g i S w a s t a

P e n y e l e n g g a r a P e n d i d i k a n V o k a s i s e r t a P e m b u k a a n P r o g r a m S t u d i P e n d i d i k a n V o k a s i d a n P r o f e s i

Y t h . 1 . P e m i m p i n P e r g u m a n T i n g g i 2 . P e m i m p i n B a d a n H u k u m P e n y e l e n g g a r a P e n g u s u l P e n d i r i a n / P e m b a h a n P T S 3 . K e p a l a L L D I K T I W i l a y a h I -

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S e h u b u n g a n d e n g a n S u r a t P i t . D i r j e n P e n d i d i k a n T i n g g i N o m o r 1 6 4 0 / D / P T / 2 0 2 0 t a n g g a l 4 S e p t e m b e r 2 0 2 0 p e r i h a l P e n g u m u m a n p e n e r i m a a n u s u l p e m b u k a a n p r o d i v o k a s i d a n p r o f e s i s e r t a p e n d i r i a n P T S V o k a s i T a h u n 2 0 2 0 , m a k a d a l a m r a n g k a t e r u s t e r l a k s a n a n y a b m g s i l a y a n a n D i t j e n D i k t i d a l a m m e m p r o s e s u s u l a n p e n d i r i a n / p e m b a h a n p e r g u m a n t i n g g i s w a s t a p e n y e l e n g g a r a p e n d i d i k a n a k a d e m i k ( P T S V o k a s i y a i t u P o l i t e k n i k , A k a d e m i , d a n A k a d e m i K o m u n i t a s ) d a n p e m b u k a a n p r o g r a m s t u d i p e n d i d i k a n v o k a s i ( P r o d i V o k a s i ) p a d a p e r g u r u a n t i n g g i , d e n g a n h o r m a t k a m i s a m p a i k a n h a l s e b a g a i b e r i k u t :

1 . D i t j e n D i k s i m e m b u k a k e m b a l i u s u l p e n d i r i a n / p e m b a h a n P T S v o k a s i d a n p e m b u k a a n p r o d i v o k a s i s e s u a i d e n g a n p e r s y a r a t a n d a n p r o s e d u r y a n g d i t e r b i t k a n p a d a t a h i m 2 0 2 0 d a n / a t a u t a h u n 2 0 2 1 ;

2 . P e n e r i m a a n u s u l p e n d i r i a n / p e m b a h a n P T S v o k a s i d a n p e m b u k a a n p r o d i v o k a s i s e b a g a i m a n a d i m a k s u d p a d a a n g k a 1 d i b u k a m u l a i t a n g g a l 1 8 J a n u a r i 2 0 2 1 s . d . 3 1 D e s e m b e r 2 0 2 1 s e c a r a d a r i n g m e l a l u i s i l e m k e r m a . k e m d i k b u d . g o . i d / v o k a s i ;

3 . U s u i p e n d i r i a n / p e m b a h a n P T S v o k a s i d a n p e m b u k a a n p r o g r a m s t u d i v o k a s i d a n p r o f e s i p a d a p e r g u m a n t i n g g i s e b a g a i m a n a d i m a k s u d p a d a a n g k a 2 d a p a t m e n g g u n a k a n S u r a t R e k o m e n d a s i L e m b a g a L a y a n a n P e n d i d i k a n T i n g g i ( L L D I K T I ) y a n g d i k e l u a r k a n p a d a t a h u n 2 0 2 0 ;

4 . M e k a n i s m e d a n p e r s y a r a t a n u s u l p e n d i r i a n P T S V o k a s i s e r t a p e m b u k a a n p r o g r a m s t u d i v o k a s i p a d a t a h u n 2 0 2 1 t e r c a n t u m d a l a m d o k u m e n y a n g d a p a t d i u n d u h p a d a m e n u P a n d u a n l a m a n s i l e m k e r m a . k e m d i k b u d . g o . i d b e m p a : a . K e p u t u s a n D i r e k t u r J e n d e r a l P e n d i d i k a n V o k a s i N o m o r 2 9 / D . D 3 / H K / 2 0 2 0 t e n t a n g

P e r s y a r a t a n d a n P r o s e d u r P e m b u k a a n P r o g r a m S t u d i P e n d i d i k a n V o k a s i P a d a P e r g u m a n T i n g g i N e g e r i ;

b . K e p u t u s a n D i r e k t u r J e n d e r a l P e n d i d i k a n V o k a s i N o m o r 3 1 / D . D 3 / H K / 2 0 2 0 t e n t a n g P e r s y a r a t a n d a n P r o s e d u r P e m b u k a a n P r o g r a m S t u d i P e n d i d i k a n V o k a s i P a d a P e r g u m a n T i n g g i S w a s t a ;

c . K e p u t u s a n D i r e k t u r J e n d e r a l P e n d i d i k a n V o k a s i N o m o r 3 0 / D . D 3 / H K / 2 0 2 0 t e n t a n g P e r s y a r a t a n d a n P r o s e d u r P e n d i r i a n P e r g u m a n T i n g g i S w a s t a P e n y e l e n g g a r a P e n d i d i k a n V o k a s i ;

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* d . K e p u t u s a n D i r e k t u r J e n d e r a l P e n d i d i k a n V o k a s i N o m o r 4 7 / D . D 3 / H K / 2 0 2 0 t e n t a n g P e r s y a r a t a n d a n P r o s e d u r P e m b u k a a n P r o g r a m S t u d i D i L u a r K a m p u s U t a m a P a d a P e r g u r u a n T i n g g i P e n y e l e n g g a r a P e n d i d i k a n V o k a s i ;

e . K e p u t u s a n D i r e k t u r J e n d e r a l P e n d i d i k a n V o k a s i N o m o r 4 8 / D . D 3 / H K / 2 0 2 0 t e n t a n g P e r s y a r a t a n d a n P r o s e d u r P e m b u k a a n P r o g r a m S t u d i D i p l o m T i g a d a n S a r j a n a T e r a p a n B i d a n g K e s e h a t a n P a d a P e r g u r u a n T i n g g i ;

f . K e p u t u s a n D i r e k t u r J e n d e r a l P e n d i d i k a n V o k a s i N o m o r 5 5 / D / H K / 2 0 2 0 t e n t a n g P e r s y a r a t a n d a n P r o s e d u r P e n i n g k a t a n P r o g r a m D i p l o m a T i g a M e n j a d i S a r j a n a T e r a p a n ;

g . I n s t r u m e n P e m e n u h a n s y a r a t m i n i m u m A k r e d i t a s i P e m b u k a a n P r o g r a m S t u d i P e n d i d i k a n V o k a s i ;

5 . E v a l u a s i a t a s u s u l s e b a g a i m a n a d i m a k s u d p a d a a n g k a 2 d i l a k u k a n d e n g a n k e t e n t u a n : a . E v a l u a s i d i l a k u k a n b e r d a s a r k a n t a h a p a n b e r i k u t :

• E v a l u a s i a s p e k c a l o n d o s e n d i l a k u k a n o l e h D i t j e n P e n d i d i k a n V o k a s i ; • E v a l u a s i a s p e k n o n d o s e n d i l a k u k a n o l e h L L D i k t i d i w i l a y a h p e n g u s u l b e r a d a ;

K e c u a l i i m t u k p r o g r a m P e n i n g k a t a n P r o g r a m D i p l o m a T i g a M e n j a d i S a r j a n a T e r a p a n s e r t a p r o g r a m D i p l o m a D u a J a l u r C e p a t K e r j a S a m a d e n g a n S M K d a n I D U K A .

b . H a s i l e v a l u a s i a k a n d i i n f o r m a s i k a n m e l a l u i l a m a n s i l e m k e r m a . k e m d i k b u d . g o . i d / v o k a s i p a d a a k u n m a s i n g - m a s i n g p e n g u s u l ;

c . U n t u k e v a l u a s i u s u l y a n g d i n y a t a k a n b e l u m d i s e t u j u i , j i k a m a s i h b e r m i n a t , p e n g u s u l d a p a t m e n g u n g g a h k e m b a l i u s u l y a n g t e l a h d i p e r b a i k i t e r s e b u t p a l i n g b a n y a k 3 ( t i g a ) k a l i d a l a m 1 ( s a t u ) t a h u n p e r i o d e p e n g u s u l a n y a n g s a m a ( P e r s y a r a t a n d a n p r o s e d u r l e b i h rinci d a p a t d i l i h a t p a d a L a m p i r a n P e r a t u r a n D i r e k t u r J e n d e r a l P e n d i d i k a n V o k a s i s e b a g a i m a n a d i m a k s u d d a l a m a n g k a 3 d i a t a s ) ;

6 . P r o g r a m D i p l o m a D u a J a l u r C e p a t K e r j a S a m a D e n g a n S M K d a n I D U K A , s e r t a P r o g r a m P r o f e s i a k a n d i t e r b i t k a n k e m u d i a n m e m m g g u p e n y e l e s a i a n i n s t r u m e n p e r s y a r a t a n m i n i m u m a k r e d i t a s i .

7 . K e t e n t u a n l a i n t e i k a i t p e n d i r i a n / p e r u b a h a n P T S v o k a s i d a n p e m b u k a a n p r o d i v o k a s i m a s i h s e s u a i d e n g a n s u r a t P i t . D i r j e n P e n d i d i k a n T i n g g i n o m o r 1 6 4 0 / D / P T / 2 0 2 0 t a n g g a l 4 S e p t e m b e r 2 0 2 0 p e r i h a l P e n g u m u m a n p e n e r i m a a n u s u l p e m b u k a a n p r o d i v o k a s i d a n p r o f e s i s e r t a p e n d i r i a n P T S V o k a s i T a h u n 2 0 2 0 .

D e m i k i a n d i s a m p a i k a n , a t a s p e r h a t i a n d a n k e r j a s a m a n y a , k a m i u c a p k a n t e r i m a k a s i h .

T e m b u s a n : M e n t e r i P e n d i d i k a n d a n K e b u d a y a a n

D i r e k t u r J e n d e r a l ,

W i k a n S a k a r i n t o

A L U R DAN PERSYARATAN PENDIRIAN PTS DAN PEMBUKAAN PRODI BARU 2021

No Jenis Usulan Permohonan Akun Tahapl Tahap n Rekomendasi Ulang

1 P e n d i r i a n P T S

A k a d e m i k , V o k a s i , P J J

1 S u r a t P e r m o h o n a n R e k o m e n d a s i k e p a d a K e p a l a L L D I K T I W 11(1 y t i l l V 11 k / l d l x v v l U c l O d U i U l X d l \ d d l e , c , a i a

1 B e r i t a A c a r a d a n daftai- h a d i r r a p a t p e r s e t u j u a n p e n d i r i a n P T S d a n o r g a n B a d a n P e n y e l e n g g a r a ( m i s a l K e t u a P e n g u r u s Y a y a s a n )

1

S u r a t P e r m o h o n a n R e k o m e n d a s i U l a n g / P e r p a n j a n g a n R e k o m e n d a s i P e m b u k a a n P r o d i / P e n d u i a n P T S k e p a d a K e p a l a L L D I K T I W i l a y a h V l l o l e h B a d a n P e n y e l e n g g a r a ( u n t u k R e k o m e n d a s i U l a n g P e n d i r i a n P T S )



2 A k t e N o t a r i s t e n t a n g P e n d i r i a n B a d a n P e n y e l e n g g a r a bese r t a s e g a l a p e r u b a h a n n y a ( j i k a p e m a h d i l a k u k a n p e r u b a h a n )

2

S e r t i f i k a t s t a tu s l a h a n c a l o n k a m p u s P T S ( H a k M i l i k , H G B d i a u riaK r a K a i ) a i a s n a m a o a o a n r e n y e i e n g g a r a a i a u p e i j a n j i a n s e w a m e n y e w a atas n a m a p i h a k l a i n d i h a d a p a n n o t a r i s m a k s i m a l 10 t a h u n s e j a k d i l a n d a t a n g a n i d e n g a n h a k m e m h e l i p e r t a m a k a l i ( h a k o p s i ) d a n t i d a k d a p a t d i p e r p a n j a n g

2 S u r a t R e k o m e n d a s i l a m a y a n g a k a n d i p e r p a n j a n g / d i r e k o m u l a n g



3 S u r a t K e p u t u s a n d a r i K e m e n k u m h a m t e n t a n g P e n g e s a h a n B a d a n P e n y e l e n g g a r a / Y a y a s a n 3 B u k t i K e p e m i l i k a n d a n a a tas n a m a B a d a n P e n y e l e n g g a r a

( R e k e n i n g K o r a n , G i r o , d s h )



(setelah 3 persyaratan i n i di evaluasi, B P a k a n menerima a k u n ) 4 S t u d i K e l a y a k a n / T i n g k a t k e b e r l a n j u t a n P T S y a n g a k a n

d i b u k a



5 M o U / P e i j a n j i a n K e i j a s a m a B P d a n D I D U (khusus v o K a s i )

2 P e m b u k a a n P r o d i ( P T S ) V o k a s i ,

P S D K U , P J J

1 S u r a t P e r m o h o n a n 1 S u r a t P e r m o h o n a n R e k o m e n d a s i k e p a d a K e p a l a L L D I K T I W i l a y a h V I I o l e h P i m p i n a n P T S 1 S u r a l p e r s e t u j u a n d a r i B a d a n P e n y e l e n g g a r a atas

p e m b u k a a n p r o d i y a n g d i u s u l k a n 1

S u r a t P e r m o h o n a n R e k o m e n d a s i U l a n g / P e r p a n j a n g a n R e k o m e n d a s i P e m b u k a a n P r o d i / P e n d i n a n P T S k e p a d a K e p a l a L L D I K T I W i l a y a h V U o l e h P i m p i n a n P T N / P T S


P S D K U , P J J

2 S K P e n g a n g k a t a n O p e r a t o r / A d m i n

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rtKLc iNoiana idiuui^ renu inan o a u a n r e n > d d i g g a r a ^^*^cJ#*I^Q c ^ ^ r r o l o r ' V i ^ m r s o r i O Y I T S I T Q I I I T Z Q t^^isi-nirs / i s 1 O L T I I / ^ O T S

U C D C I la A C g d X a pci uudnaiuiya niKa pcriidii ciiiaiKUKdn p e r u b a h a n )

z S u r a t p e r t i m h a n g a n S e n a t P e r g u r u a n T i n g g i a tas p e m b u k a a n p r o d i y a n g d i u s u l k a n

z S u r a t R e k o m e n d a s i l a m a y a n g a k a n d i p e r p a n j a n g / d i r e k o m u l a n g 2 P e m b u k a a n

P r o d i ( P T S ) V o k a s i , P S D K U , P J J

3 S K d a r i K e m e n k u m h a m t e n t a n g P e n g e s a h a n B a d a n P e n y e l e n g g a r a 3 S u r a t P e m y a t a a n B e h a s K o n f l i k / T a a t A z a s


P S D K U , P J J

4 S K I z i n P e n d i r i a n P e r g u r u a n T i n g g i p e r t a m a k a l i b e s e r t a ^ s ^ l l l U d p d U l - ' d l l i l l i l i y <1

4 B u k t i K e p e m i l i k a n d a n a a tas n a m a B a d a n P e n y e l e n g g a r a flifi't^nxnct I t T r ^ f i in I T I T T ^ r i«K ' J V . J x c K C ' i u i i g r v u i o i i , v j u u , u s u ^


P S D K U , P J J

5 S t u d i K e l a y a k a n / T i n g k a t k e b e r l a n j u t a n P r o g r a m S t u d i y a n g f i L ' a ' n H i K i i L a (LPwdll U l U U l k a


P S D K U , P J J

3 P e m b u k a a n P r o d i ( P T N )

A k a d e m i k , V o k a s i ,

P S D K U , P J J

1 S u r a t P e r m o h o n a n 1 S u r a t P e r m o h o n a n R e k o m e n d a s i k e p a d a K e p a l a L L D I K T I W i l a y a h V l l o l e h P i m p i n a n P T N

1

S i u a t P e r m o h o n a n R e k o m e n d a s i U l a n g / P e r p a n j a n g a n R e k o m e n d a s i P e m b u k a a n P r o d i / P e n d i n a n P T S k e p a d a K e p a l a L L D I K T I W i l a y a h V U o l e h P i m p i n a n P T N / P T S



P S D K U , P J J 2 S K P e n g a n g k a t a n O p e r a t o r / A d m i n 2 S K I j i n P e n d i r i a n P e r g u r u a n T i n g g i p e r t a m a k a l i b e s e r t a

s e m u a p e r u b a h a n n y a 2 S u r a t R e k o m e n d a s i l a m a y a n g a k a n d i p e r p a n j a n g / d i r e k o m u l a n g x



P S D K U , P J J

3 S u r a t p e r t i m h a n g a n S e n a t P e r g u r u a n T i n g g i a tas p e m b u k a a n p r o d i s e sua i j e n i s u s u l



P S D K U , P J J

4 S t u d i K e l a y a k a n / T i n g k a t k e b e r l a n j u t a n P r o g r a m S t u d i



P S D K U , P J J

Studi Kelayakan/Tingkat keberlanjutan yang akan dibuka yang berisi:

B A B I S I Daftar Isi

B a b I P e n d a h u l u a n B a b I I K e b u t u h a n D u n i a K e r j a T e r h a d a p L u l u s a n B a b I I I B i d a n g I l m u , P r o g r a m S t u d i , d a n M e t o d e P e m b e l a j a r a n B a b I V P r o s p e k M i n a t d a n D a y a T a m p u n g M a h a s i s w a S e t i a p P r o g r a m S t u d i B a b V P r a s a r a n a d a n S a r a n a P T S S e s u a i K e t e n t u a n B a b V I S u m b e r D a n a d a n P e m b i a y a a n S e l a m a m i n i m a l 2 t a h i m L a m p i r a n L a m p i r a n 1 : S a r a n a d a n P r a s a r a n a y a n g d i s e d i a k a n

L a m p i r a n 2 : R a n c a n g a n P e n g e m b a n g a n K a m p u s ( a k a n d i s e d i a k a n ) L a m p i r a n 3 : S u r a t P e m y a t a a n K e s a n g g u p a n u n t u k m e n y e d i a k a n d a n a i n v e s t a s i d a n o p e r a s i o n a l d i l a n d a t a n g a n i o l e h s e m u a a n g g o t a o r g a n B a d a n P e n y e l e n g g a r a L a m p i r a n 4 : P r o y e k s i A r u s K a s L a m p i r a n 5 : P a k t a I n t e g r i t a s ( b e r i s i t e n t a n g k e b e n a r a n d a t a d a n s e m u a i n f o r m a s i y a n g t e r m u a t d a l a m d o k u m e n u s u l )

Catalan: J P e n g a j u a n R e k o m e n d a s i L L D I K T I W i l a y a h V I I u n t u k p e n g u s u l a n P e m b u k a a n P r o d i P T S / P T N d a n P e n d i r i a n P T S d i l a k u k a n s e c a r a

o n l i n e / d a r i n g m e l a l u i l a m a n h t t p : / / p r o d i b a r u . k o p e r t i s 7 . g o . i d ( L L D I K T I W i l a y a h V I I t i d a k m e n e r i m a b e r k a s fisik b a g i j e n i s u s u l a n i n i ) ; 2 D o k u m e n s e l a i n p e r s y a r a t a n w a j i b d i a t a s , d i m o h o n t i d a k d i u n g g a h s aa t p e n y a m p a i a n u s u l a n , d o k u m e n t e r s e b u t d a p a t d i b a w a p a d a s a a t

p r e s e n t a s i ( j i k a d i p e r l u k a n ) ; ^ P e n g u s u l a n R e k o m e n d a s i U l a n g / P e r p a n j a n g a n R e k o m e n d a s i P e m b u k a a n P r o d i / P e n d i r i a n P T S h a n y a d a p a t d i u s u l k a n o l e h P T S / P T N / B a d a n

P e n y e l e n g g a r a y a n g t e l a h m e m i l i k i A k u n p a d a b t t p : / / p r o d i b a r u . k o p e r t i s 7 . g o . i d /

http://prodibaru.kopertis7.go.id

PERSYARATAN PERUBAHAN PTS

No Jenis Perubahan PTS Persyaratan

1 U b a h N a m a

1 S u r a t P e r m o h o n a n B a d a n P e n y e l e n g g a r a

1 U b a h N a m a

2 I z i n P e n d i r i a n P T S d a n p r o d i

1 U b a h N a m a

3 S u r a t K e p u t u s a n M e n k u m b a m

1 U b a h N a m a

4 A k t a N o t a r i s P e n d i r i a n B P d a n s e g a l a p e r u b a h a n n y a

1 U b a h N a m a 5 B e r i t a A c a r a d a n D a f d i r R a p a t B P t e n t a n g P e r s e t u j u a n P e r u b a h a n n a m a P T S 1 U b a h N a m a

6 B e r i t a A c a r a d a n D a f d i r R a p a t S e n a t P T t e n t a n g P e r s e t u j u a n P e r u b a h a n N a m a P T S 1 U b a h N a m a

7 S u r a t P e m y a t a a n T a a t A z a s

1 U b a h N a m a

8 S u r a t P e m y a t a a n B e b a s K o n f l i k

1 U b a h N a m a

9 P a k t a I n t e g r i t a s

1 U b a h N a m a

2 P i n d a h L o k a s i







4 A k t a N o t a r i s P e n d i r i a n B P d a n s e g a l a p e m b a b a n n y a


5 S t u d i k e l a y a k a n p e r u b a h a n p i n d a h l o k a s i P T S

2 P i n d a h L o k a s i 6 B e r i t a A c a r a d a n D a f d i r R a p a t B P t e n t a n g P e r s e t u j u a n P i n d a h l o k a s i P T S

2 P i n d a h L o k a s i 7 B e r i t a A c a r a d a n D a f d i r R a p a t S e n a t P T t e n t a n g P e r s e t u j u a n P i n d a h L o k a s i P T S


8 S e r t i f i k a t h a k a t a s t a n a h d e n g a n s t a t u s H a k M i J i k , H G B a t a u H a k P a k a i a t a s n a m a B P


_ 9 1 0

S u r a t P e m y a t a a n T a a t A z a s


_ 9 1 0 S u r a t P e m y a t a a n B e b a s K o n f l i k


1 1 P a k t a I n t e g r i t a s


3 U b a h B e n t u k









5 S t u d i k e l a y a k a n P e m b a b a n b e n t u k P T S

3 U b a h B e n t u k 6 B e r i t a A c a r a d a n D a f d i r R a p a t B P t e n t a n g P e r s e t u j u a n P e m b a b a n b e n t u k P T S 3 U b a h B e n t u k 7 B e r i t a A c a r a d a n D a f d i r R a p a t S e n a t P T S t e n t a n g P e r s e t u j u a n P e m b a b a n b e n t u k P T S


8 S e r t i f i k a t h a k a t a s t a n a h d e n g a n s t a m s H a k M i l i k , H G B a t a u H a k P a k a i a t a s n a m a B P


9 S u r a t P e m y a t a a n T a a t A z a s


1 0 S u r a t P e m y a t a a n B e b a s K o n f l i k




4 A l i h K e l o l a





3 S u r a t K e p u m s a n M e n k u m b a m




5 S t u d i k e l a y a k a n P e m b a b a n A l i h K e l o l a P T S

4 A l i h K e l o l a 6 A k t a N o t a r i s K e s e p a k a t a n A l i h K e l o l a

4 A l i h K e l o l a 7 B e r i t a A c a r a d a n D a f d i r R a p a t B P t e n t a n g P e r s e t u j u a n A l i h K e l o l a P T S 4 A l i h K e l o l a 8 B e r i t a A c a r a d a n D a f d i r R a p a t S e n a t P T S t e n t a n g P e r s e t u j u a n A l i h K e l o l a P T S


9 S e r t i f i k a t h a k a t a s t a n a h d e n g a n s t a t u s H a k M i l i k , H G B a t a u H a k P a k a i a t a s n a m a B P


1 0 S u r a t P e m y a t a a n T a a t A z a s


1 1 S u r a t P e m y a t a a n B e b a s K o n f l i k




No Jenis Perubahan PTS Persyaratan

1 Siirat Permohonan Radan Penveleneeara 2 T/in Pendirian P T S dan nrodi

A Z . 1 1 1 A ^ l l U l l l u l l A A L / U C U I I J l \ J \ * l

J Siirat ICemitiiân \/fenkiimhflm 4 Alfta ôtan*! Pendirian RP dan senala nenihahannva 5 S t u d i k e l a v a k a n P e n e a a b u n e a n P T S 6 Akta Notaris Keênakatan Penntyahiinoan 7 Rerita Acara dan Dafdir Ranat RP tentanff PersePiiiian Penoeahiinean P T S 8 Rerita Acara dan Dafdir Ranat Senat P T tentang Perêtniiian Penffeahunean P T S

A A V l l t d i \ . \ ^ C X l d U C U l A V C 1 A V J . 1 1 A x C I L l C l l O ^ l l C l l X X v ^ l l l Q I l K X ^ 1 i x & l V J I V J C L l l 1 V . ' l l ^ f ^ C T U V41 I f ^ C I 1 1 X X k J 9 Sertifikat hak atas tanah denaan status Hak N/filik HOR ataii Hak Pakai atas nama RP

O V x l l l A l I v C l l I I C I ^ C I I C 1 3 I d l l C U I V J ^ l I ^ d l l 9 I . C * L V J 3 X X O n . I V X l l i r X . X X V J X . i ' a i C l L l X X C I J V . X C U v C U a i d s l l d J I I d x . ^ x

1 0 Surat Pemvataan Taat Azas Liui d i X iiyaudciii A d d i r \ j j C i o

1 1 1 1

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1 2 Pakta Intenritas X d l v L d X l l l V f U l V d i 3

1 Surat Permohonan Radan Penveleneoara k J V J i d L X V p f i i i i v j i i v / i i d i 1 u d V J d i i 1 ^ 1 1 y ^ i s L f i i j a ^ ^ d i d

2 Tzin Pendinan P T S dan nrodi M.£jlH L ^ l l U l l I C X i l J. X i j U d J l L / I vyUJ

3 Surat ICeniitiisan IVfenkumham i W l l d l X ^ V a f L / U L L l i S d l l I V X ^ l l l V l J l l l l l d l l l

4 Akta Notaris Pendirian RP dan seeala nenihahannva l A l V l d A ^ V J l d l l O X V-r l lVJII I d l l X J X U d l i o V i K d l d L ' X ' l U U d l l d l l l l y d

5 Studi kelavakan Penvatuan P T S k J V U V A l I W l d Y C U V d A I J W l l y d l U d l l X X I V

6 P e n y a t u a n 6 A k t a N o r a r i s K e s e p a k a t a n P e n y a t u a n

P e n y a t u a n 7 B e r i t a A c a r a d a n D a f d i r R a p a t B P t e n t a n g P e r s e t u j u a n P e n y a t u a n P T S 8 B e r i t a A c a r a d a n D a f d i r R a p a t S e n a t P T t e n t a n g P e r s e t u j u a n P e n y a t u a n P T S 9 S e r t i f i k a t b a k a t a s t a n a b d e n g a n s t a t u s H a k M i l i k , H G B a t a u H a k P a k a i a t a s n a m a B P

1 0 S u r a t P e m y a t a a n T a a t A z a s 1 1 S u r a t P e m y a t a a n B e b a s K o n f l i k 1 2 P a k t a I n t e g r i t a s

http://AVC1AVJ.11

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