Perkara
Tarikh
T.t Penguji
1. Lagu Patriotik
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5. Buku Skrap
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2. Kreativiti pilihan
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A. KESETIAAN
C. KECEKAPAN
D. PENYERTAAN
E. PERKHIDMATAN
Adalah dengan ini di perakui dan di sahkan bahawa Pengakap kanak-Kanak ini telah
menjalankan ujian-ujian seperti mana yang disyaratkan dan LULUS ujian tersebut.
Tarikh:..................................................
Diluluskan oleh..............................................