INPUT DATA DASAR GERAKAN PRAMUKA GUGUSDEPAN TAHUN 2016

1 KWARCAB : 08/BULELENG
2 KWARRAN : 04/BANJAR
3 GUDEP : 04.647-04.648
PANGKALAN : SD. NEGERI 3 SIDETAPA
TGL, BLN, TH BERDIRI : 21 MARET 2016
ALAMAT : Br. DINAS DELOD PURA, DESA SIDETAPA, KECAMATAN BANJAR
TLP/HP : 081936664059
EMAIL : sdno3sidetapa@yahoo.co.id

DATA ANGGOTA MUDA

CALON T K U TKK S G T D ANGGOTA SAKA
PRA

PRAM. GARUDA
ANG

BAKTI HUSADA
MUKA

BAYANG KARA
SIAGA GALANG TEGAK D

TARUNABUMI
WIRAKARTIKA
DIRGANTARA
PERINDUKAN

WIDYA BAKTI
GOTA

WANABAKTI
KALPATARU
NO GOLONGAN LUAR

AMBALAN

PANDEGA

KENCANA
PUTRA/

BANTARA

PASUKAN
LAKSANA
S G T D JML JML BIASA

BARUNG

SANGGA
PURWA

UTAMA
MADYA

BAHARI
BANTU
PUTRI JML JML JML

TERAP
RAMU
MULA

SIAGA
RAKIT

DEGA

REGU
TATA
PA PI
PUTRA 12 13 3 11 27 0
1 SIAGA
PUTRI 11 8 7 9 24 0
PUTRA 0 0 0
2 PENGGALANG
PUTRI 0 0 0
PUTRA 0 0 0
3 PENEGAK
PUTRI 0 0 0
PUTRA 0 0
4 PANDEGA
PUTRI 0 0
JUMLAH 23 0 0 0 51 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 DATA ANGGOTA DEWASA
STATUS PENDIDIKAN TERAKHIR DI GERPRA PENGURUS SAKA

ORIENT MAHIR GOLONGAN PDD KETERA

NAMA PEMBINA,

TDK AKTIF
BELUM KWAR KWAR KWAR INST PIN PAMON MABI
NO KEPRAM KMD KML KPD KPL GUDEP MABI FOR NGAN / HP /

AKTIF
MABI, STAF KURSUS
UKAAN
RAN CAB DA SAKA SAKA G SAKA SAKA
MAL EMAIL

PA PI PA PI PA PI PA PI PA PI PA PI S G T D PA PI PA PI PA PI PA PI PA PI PA PI PA PI PA PI PA PI

S1 081339753533 /
1 NYOMAN KARINI,S.Pd.SD 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 PGSD nyoman.karini@yaho
o.co.id

S1 081338460314/
2 PUTU SUWARDANA,S.Pd.SD 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 PGSD p_suwardana@yaho
o.co.id

S1
3 LUH ARYATI,S.Pd 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 PGSD luh_aryati@yahoo.co.id

S1
4 NI LUH SARINI,S.Pd.SD 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 PGSD i.sarini@yahoo.co.id

085253007824/
5 NI KADEK AYU WARTINIASIH,S.Pd 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 S1 AGAMA
HINDU kadekayuwartiniasih
@yahoo.co.id

S1 081936664059/
6 PUTU ALIAWAN,S.Pd.SD 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 PGSD sdno3sidetapa@yah
oo.co.id

S1
7 LUH MAYONI,S.Pd. 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 PGSD luhmayoni@yahoo.co.id

S1
8 KADEK SUPRADIANA,S.Pd 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 PGSD supradiana.kadek@yahoo.co.id

9 KETUT SEMADI 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 SGO 085333196682

JUMLAH 9 0 1 0 0 0 3 5 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 INPUT DATA DASAR GERAKAN PRAMUKA KWARRAN TAHUN 2016

KWARCAB : 08 / BULELENG
KWARRAN : 04 / BANJAR
ALAMAT : Jln. Raja Ida Made Rai, Desa Banjar, Kecamatan Banjar
TLP/HP :
EMAIL :

DATA ANGGOTA MUDA

CALON TKU TKK PRA
PRA MUKA PRA PRA
SIAGA PENGGALANG PENEGAK D S G T/D MUKA GARU MUKA MUKA
NO GUGUSDEPAN PANGKALAN S G T D MU BAN TA RA RA TER BAN LAK PAN SIA PUR MA UTA PUR MA UTA GARU DA. GARU LUAR
LA TU TA MU KIT AP TARA SANA DEGA GA WA DYA MA WA DYA MA DA. S G DA. T BIASA

PA PI PA PI PA PI PA PI PA PI PA PI PA PI PA PI PA PI PA PI PA PI PA PI PA PI PA PI PA PI PA PI PA PI PA PI PA PI PA PI PA PI PA PI PA PI PA PI

1 04.647-04.648 SD. NEGERI 3 SIDETAPA12 11 0 0 0 0 0 0 13 8 3 7 11 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

2
3
4
5

JUMLAH 12 11 0 0 0 0 0 0 13 8 3 7 11 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

S G T D ANGGOTA S A K A
PERIN BAKTI TARUN WIRA
BA PASU AMBA SANGG PAN BAYAN DIRGA BAHAR WIDYA KALPA WANA KENCA
NO GUGUSDEPAN PANGKALAN DUKA REGU HUSAD A KARTIK
RUNG KAN LAN A DEGA GKARA NTARA I BAKTI TARU BAKTI NA
N A BUMI A

PA PI PA PI PA PI PA PI PA PI PA PI PA PI PA PI PA PI PA PI PA PI PA PI PA PI PA PI PA PI PA PI PA PI

1 04.647-04.648 SD. NEGERI 3 SIDETAPA 1 1 3 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

2
3
4
5

JUMLAH 1 1 3 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 DATA ANGGOTA DEWASA
STATUS PENDIDIKAN TERAKHIR DI GERPRA PENGURUS SAKA
ORIEN STAF
BELU T MAHIR KWAR KWAR PIN PAMO MABI PDD KWAR
NAMA PEMBINA, MABI M KEPRA GU
KPL GOLONGAN DEP
KWAR INST KETERANGAN / HP
NO KURS MUKA KMD KML KPD DA MABI SAKA NG FOR RAN

TDK AKTIF
STAF RAN /EMAIL
US CAB SAKA SAKA SAKA MAL
AN

AKTIF
PA PI PA PI PA PI PA PI PA PI PA PI S G T D PA PI PA PI PA PI PA PI PA PI PA PI PA PI PA PI PA PI PA PI

081339753533 /
1 NYOMAN KARINI,S.Pd.SD 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 S1 PGSD nyoman.karini@yahoo.co.i
d

081338460314/
2 PUTU SUWARDANA,S.Pd.SD 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 S1 PGSD
p_suwardana@yahoo.co.id

3 LUH ARYATI,S.Pd 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 S1 PGSD luh_aryati@yahoo.co.id

4 NI LUH SARINI,S.Pd.SD 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 S1 PGSD i.sarini@yahoo.co.id

S1 085253007824/
5 NI KADEK AYU WARTINIASIH,S.Pd.H 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 AGAMA kadekayuwartiniasih@yaho
HINDU o.co.id
081936664059/
6 PUTU ALIAWAN,S.Pd.SD 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 S1 PGSD sdno3sidetapa@yahoo.co.i
d

7 LUH MAYONI,S.Pd. 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 S1 PGSD luhmayoni@yahoo.co.id

supradiana.kadek@yahoo.c
8 KADEK SUPRADIANA,S.Pd 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 S1 PGS o.id

9 KETUT SEMADI 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 SGO 085333196682

10

JUMLAH 9 0 1 0 0 0 3 5 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
INPUT DATA DASAR GERAKAN PRAMUKA KWARCAB. TAHUN 2016

KWARCAB : 08 / buleleng
ALAMAT :
TLP/HP :
EMAIL :

I. DATA ANGGOTA MUDA

CALON TKU TKK

PRA PRA
SIAGA PENGGALANG PENEGAK D S G T/D MUKA MUKA
NO KWARRAN S G T D MU BAN TA RA RA TER BAN LAK PAN SIA PUR MA UTA PUR MA UTA GARU LUAR
LA TU TA MU KIT AP TARA SANA DEGA GA WA DYA MA WA DYA MA DA BIASA

PA PI PA PI PA PI PA PI PA PI PA PI PA PI PA PI PA PI PA PI PA PI PA PI PA PI PA PI PA PI PA PI PA PI PA PI PA PI PA PI PA PI PA PI

1 01 / DEN. BAR 12 11 0 0 0 0 0 0 13 8 3 7 11 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 02 / DEN SEL
3 03 / DEN TIM
4 04 / DEN UTARA

JUMLAH 12 11 0 0 0 0 0 0 13 8 3 7 11 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

S G T D ANGGOTA S A K A
PERIN
BAYA DIRGA BAKTI WIRA
BA PASU REGU AMBA SANG PAN NGKA NTAR BAHA HUSAD WANA KALPA WANA TARUN KARTI KENCA
NO KWARRAN DUKA RUNG KAN LAN GA DEGA RI BAKTI TARU BAKTI A BUMI KA NA
N RA A A
PA PI PA PI PA PI PA PI PA PI PA PI PA PI PA PI PA PI PA PI PA PI PA PI PA PI PA PI PA PI PA PI PA PI

1 01 / DEN. BAR
2 02 / DEN SEL
3 03 / DEN TIM
4 04 / DEN UTARA

JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
II. DATA ANGGOTA DEWASA

STATUS PENDIDIKAN TERAKHIR DI GERPRA PENGURUS SAKA

STAF
NAMA PEMBINA, BLM MAHIR PAMO MABI PDD KWAR
GOLONGAN GU KWAR KWAR KWAR INST PIN KETERANGAN / HP
NO MABI,

TDK AKTIF
KURSU KOS KMD KML KPD KPL MABI FOR
DEP RAN CAB DA SAKA SAKA NG SAKA MAL
CAB /EMAIL
STAF S SAKA

AKTIF
PA PI PA PI PA PI PA PI PA PI PA PI S G T D PA PI PA PI PA PI PA PI PA PI PA PI PA PI PA PI PA PI PA PI

1 PUTU ADE 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1

JUMLAH 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 0 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 0 0

……………………………, juni 2016

INPUT DATA DASAR GERAKAN PRAMUKA KWARCAB. TAHUN 2016

KWARCAB : 01 / JEMBRANA
ALAMAT :
TLP/HP :
EMAIL :

I DATA ANGGOTA MUDA

CALON TKU TKK

PRA PRA
SIAGA PENGGALANG PENEGAK D S G T/D MUKA MUKA
NO KWARRAN S G T D MU BAN TA RA RA TER BAN LAK PAN SIA PUR MA UTA PUR MA UTA GARU LUAR
LA TU TA MU KIT AP TARA SANA DEGA GA WA DYA MA WA DYA MA DA BIASA

PA PI PA PI PA PI PA PI PA PI PA PI PA PI PA PI PA PI PA PI PA PI PA PI PA PI PA PI PA PI PA PI PA PI PA PI PA PI PA PI PA PI PA PI

1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 02 / JEMBRANA
3 03 / NEGARA
4 04 / MENDOYO
5 05 / PEKUTATAN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

S G T D ANGGOTA S A K A
PERIN
BA PASU REGU AMBA SANG PAN BAYA DIRGA BAHA BAKTI WANA KALPA WANA TARUN WIRA KENCA
NO KWARRAN DUKA RUNG KAN LAN GA DEGA NGKA NTAR RI HUSAD BAKTI TARU BAKTI A BUMI KARTI NA
N RA A A KA
PA PI PA PI PA PI PA PI PA PI PA PI PA PI PA PI PA PI PA PI PA PI PA PI PA PI PA PI PA PI PA PI PA PI

1 01/ MELAYA
2 02 / JEMBRANA
3 03 / NEGARA
4 04 / MENDOYO
5 05 / PEKUTATAN
 6

JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

II DATA ANGGOTA DEWASA

STATUS PENDIDIKAN TERAKHIR DI GERPRA PENGURUS SAKA

STAF
NAMA PEMBINA, BLM MAHIR PAMO MABI PDD KWAR
GOLONGAN GU KWAR KWAR KWAR INST PIN KETERANGAN / HP
NO MABI,

TDK AKTIF
KURSU KOS KMD KML KPD KPL MABI FOR
DEP RAN CAB DA SAKA SAKA NG SAKA MAL
CAB /EMAIL
STAF S SAKA

AKTIF
PA PI PA PI PA PI PA PI PA PI PA PI S G T D PA PI PA PI PA PI PA PI PA PI PA PI PA PI PA PI PA PI PA PI

1 PUTU ADE 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
2

3
4
5
6
7
8
9
10
JUMLAH 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 0 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 0 0
INPUT DATA DASAR GERAKAN PRAMUKA KWARDA BALI TAHUN 2016

1 KWARDA : 22 / BALI
ALAMAT : KAPTEN TANTULAR
TLP/HP :
EMAIL :

I. DATA ANGGOTA MUDA

CALON TKU TKK
PRA PRA
SIAGA PENGGALANG PENEGAK D S G T/D MUKA MUKA
NO KWARCAB S G T D GARU LUAR
MU BAN TA RA RA TER BAN LAK PAN SIA PUR MA UTA PUR MA UTA DA BIASA
LA TU TA MU KIT AP TARA SANA DEGA GA WA DYA MA WA DYA MA
PA PI PA PI PA PI PA PI PA PI PA PI PA PI PA PI PA PI PA PI PA PI PA PI PA PI PA PI PA PI PA PI PA PI PA PI PA PI PA PI PA PI PA PI

1 08 / buleleng
2 02 / TABANAN
3 03 / BADUNG
4 04 / DENPASAR
5 05 / GIANYAR
6 06 / BANGLI
7 07 / KLUNGKUNG
8 08 / KARANGASEM
9 09 / BULELENG

JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 S G T D ANGGOTA S A K A
PERIN BA PASU AMBA SANGG PAN B. DIRGA BAHAR BAKTI W. KALPA WA TARU WIRA KENC
NO KWARRAN DUKA RUNG KAN REGU LAN A DEGA KARA T I H BAKTI TARU NA B. NA B K ANA
N
PA PI PA PI PA PI PA PI PA PI PA PI PA PI PA PI PA PI PA PI PA PI PA PI PA PI PA PI PA PI PA PI PA PI

1 08 / buleleng
2 02 / TABANAN
3 03 / BADUNG
4 04 / DENPASAR
5 05 / GIANYAR
6 06 / BANGLI
7 07 / KLUNGKUNG
8 08 / KARANGASEM
9 09 / BULELENG

JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
II. DATA ANGGOTA DEWASA

STATUS PENDIDIKAN TERAKHIR DI GERPRA PENGURUS SAKA

MAHIR STAF
NAMA PEMBINA, BLM GU KWAR KWAR KWAR INST PIN PAMO MABI PDD KWAR
KURS KOS KMD KML KPD KPL GOLONGAN KETERANGAN / HP
NO MABI, DA MABI NG FOR DA

TDK AKTIF
DEP RAN SAKA SAKA /EMAIL
STAF US CAB SAKA SAKA MAL

AKTIF
PA PI PA PI PA PI PA PI PA PI PA PI S G T D PA PI PA PI PA PI PA PI PA PI PA PI PA PI PA PI PA PI PA PI

1 Drs. Ketut Wija, MM 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1

2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
JUMLAH 1 0 0 0 0 0 1 0 1 0 1 0 1 0 0 0 0 1 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 0 0