CATATAN WATAK PESERTA DIDIK

Nama lengkap : ........................................................................................

Nama kecil/Panggilan : .........................................................................................
Tempat Tanggal Lahir : .........................................................................................
Jenis Kelamin : .........................................................................................
Agama : .........................................................................................
Masuk Pramuka Tanggal : .........................................................................................
Sifa-sifat baik yang perlu dikembagkan :
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Sifat-sifat kurang baik yang perlu dikurangi :
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Kepemimpinan yang pernah dialami/diikuti :
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Peristiwa-peristiwa penting selama menjadi anggota pramuka :
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Observasi peristiwa penting selama menjadi anggota pramuka :
a) Kecerdasan : ...................................................................................................................
b) Gotong Royong : ...................................................................................................................
c) Disiplin : ...................................................................................................................
d) Kegembiraan : ...................................................................................................................
e) Loyalitas : ...................................................................................................................
f) Kejujuran : ...................................................................................................................
g) Inisiatif : ...................................................................................................................
h) Mentalitas : ...................................................................................................................
i) Kreatifitas : ...................................................................................................................
j) Pengabdian : ...................................................................................................................
 NO PERISTIWA PENTING TANGGAL TEMPAT
1. Diterima Sebagai Tamu Ambalan
2. Proses Pembaiatan Calon Penegak
3. Dilantik Menjadi Calon Penegak
4. Proses Pembaiatan Penegak Bantara
5. Dilantik Menjadi Penegak Bantara
6. Proses Pembaiatan Dewan Ambalan
7. Dilantik Menjadi Dewan Ambalan
8. Proses Pembaiatan Penegak Laksana
9. Dilantik menjadi Penegak Laksana
10. Proses Pembaiatan Penegak Elit
11. Dilantik Mnejadi Penegak elit
12. Proses Pembaiatan Penegak Garuda
13. Dilantik Menjadi Pramuka Garuda

Kegiatan Kepramukaan/kegiatan lain yang pernah dikuti :

a. ................................................................................................................................................
b. ................................................................................................................................................
c. ................................................................................................................................................
d. ................................................................................................................................................
e. ................................................................................................................................................
Penyakit/gangguan kesehatan yang pernah diderita :
a. ................................................................................................................................................
b. ................................................................................................................................................
c. ................................................................................................................................................
d. ................................................................................................................................................
e. ................................................................................................................................................
Mutasi Anggota Tanggal : .........................................................................................

Pembina satuan,
Maulana Yusuf