BUKU LAPORAN

NARA KARYA DASAR

KURSUS MAHIR DASAR
KWARTIR CABANG GERAKAN PRAMUKA JOMBANG
DI KWARTIR RANTING KABUH
TAHUN 2022
 BULAN KE :

Mulai Tanggal : …………………..……

Sampai Tanggal : …………………………..
 LAPORAN PENINJAUAN YANG SAYA LAKUKAN

Bulan : ...........................................

1. Hari / Tanggal : ...............................................................................

2. Pukul : ...................................s/d........................................
3. Satuan Yang Ditinjau : S/G/T/D (......) Gudep : ..........................................
4. Alamat : ...............................................................................
5. Hasil Peninjauan :
a. Personil :
1) Jumlah Pembina : ......................................................................................
2) Nama Pembina Satuan : ......................................................................................
3) Jumlah Peserta Didik : ......................................................................................
4) Nama Pembina Gudep : ......................................................................................
b. Tingkat Kecakapan Umum :
1) Siaga : Mula = .........., Bantu = .........., Tata = ..........
2) Penggalang : Ramu = .........., Rakit = .........., Terap = ..........
3) Penegak : Bantara = ..................., Laksana = ......................
4) Pandega : ....................................................................................

TKK yang dicapai :

1) Siaga = ...............................Orang .........................macam

2) Penggalang = ...............................Orang .........................macam
3) Penegak = ...............................Orang .........................macam
4) Pandega = ...............................Orang .........................macam
c. Keadaan Satuan
1) Siaga : .......................................................................................
2) Penggalang : .......................................................................................
3) Penegak : .......................................................................................
4) Pandega : .......................................................................................
d. Kesimpulan / pendapat saya :
.................................................................................................................................................
.................................................................................................................................................
.................................................................................................................................................

Mengetahui, .................,.....................................
Kepala Sekolah Peserta Kursus
Selaku Ka.Mabigus
Pelatih Konsultan

.................................. ..............................................

......................................
 LAPORAN HASIL DISKUSI

Hari / Tanggal Waktu Tempat Anggota Diskusi

Mengetahui, ..................,.................................
Kepala Sekolah Peserta Kursus
Selaku Ka.Mabigus
Pelatih Konsultan

................................. ..............................................

.....................................
 CERAMAH /RAPAT,SEMINAR,WORKSHOP YANG SAYA IKUTI BULAN INI

Nama dan tanda tangan yang

No. Tanggal Judul
memimpin

Mengetahui, ..................,.................................
Kepala Sekolah Peserta Kursus
Selaku Ka.Mabigus
Pelatih Konsultan

................................. ..............................................

.....................................

KONSULTAS-KONSULTASI YANG LAKUKAN BULAN INI

 No. Nama dan tanda tangan
Tanggal Tentang
Konsultan

....................,.................................
Mengettahui,
Pelatih Konsultan, Peserta Kursus

……………………………………….. ..............................................
 DAFTAR BUKU ( LITERATUR ) PENDIDIKAN YANG TELAH
SAYA BACA DALAM BULAN SEBAGAI BERIKUT

No. Judul Pengarang/Penerbitt Kesan-Kesan

Mengetahui, ..................,.................................
Kepala Sekolah Peserta Kursus
Selaku Ka.Mabigus
Pelatih Konsultan

................................. ..............................................

.....................................

LAPORAN KEGIATAN KELUAR SATUAN KAMI BULAN INI

 No. Tanggal Tempat Jumlah Peserta Kegiatan-kegiatan

Mengetahui, ..................,.................................
Kepala Sekolah Peserta Kursus
Selaku Ka.Mabigus
Pelatih Konsultan

................................. ..............................................

.....................................

BAKTI KEPADA MASYARAKAT

1. Waktu : Hari......................... Tanggal........................ Jam .....................

2. Tempat : .............................................................................................................................
 3. Jenis Bakti : .............................................................................................................................
4. Kesan-kesan : .............................................................................................................................
...................................................................................................................................................... ...
...................................................................................................................................................
......................................................................................................................................................
......................................................................................................................................................

Sasaran Hasil Beaya Keterangan

Mengetahui, ....................,.................................
....................................... Peserta Kursus

Pelatih Konsultan

................................. ..............................................

.....................................