BIODATA CALON PENEGAK AMBALAN DALEM LUMAJU DAN NYIMAS MAJA

PANGKALAN SMAN 1 MAJA PERIODE 2021 – 2022

A.BIODATA UMUM
Pas foto 3x4 1. Nama :
Menggunakan PDH
Pramuka+Atribut 2.Tempat,Tanggal Lahir:
Pramuka Lengkap
dengan latar foto
polos. 3. Kelas :

4. Alamat :

5. Agama :

6. Asal Sekolah :

7. Riwayat Penyakit :

8. No. Hp :

9. Nama Orang Tua :

10. Pekerjaaan Orang Tua :

11. No. Hp Orang Tua :

B. RIWAYAT ORGANISASI DAN EVENT YANG PERNAH DIIKUTI DI SEKOLAH SEBELUMNYA

1. Riwayat Organisasi di dalam sekolah /jabatan :

a. f. k. p.
b. g. l. q.
c. h. m. r.
d. i. n. s.
e. j. o. t.

2. Riwayat Organisasi di luar sekolah/jabatan :

a. f. k. p.
b. g. l. q.
c. h. m. r.
d. i. n. s.
e. j. o. t.

3. Event yang pernah di ikuti (baik yang ada di dalam atau di luar sekolah) :

a. f. k. p.
b. g. l. q.
c. h. m. r.
d. i. n. s.
e. j. o. t.

4. Tanda penghargaan /sertifikat penghargaan yang pernah diperoleh :

a. f. k. p.
b. g. l. q.
c. h. m. r.
d. i. n. s.
e. j. o. t.
C. ESSAY

Apakah anda tertarik kepada organisasi kepramukaan yang ada di SMAN 1 Maja ?

Deskripsikan Alasannya !
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