portofolio akreditasi gudep
DESCRIPTION
akreditasi gudepTRANSCRIPT
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KWARTIR NASIONAL GERAKAN PRAMUKATAHUN 2011
INSTRUMEN PORTOFOLIO GUGUSDEPAN TERAKDREDITASIIDENTITAS PESERTA AKREDITASI
1 Nomor Peserta2 Pola Sertifikasi Penilaian Portofolio3 Nomor Gugusdepan4 Tanggal Berdiri5 Jenis / Jenjang Pembinaan 1
6 Alamat Gugusdepan a. Nama Pangkalan
(Sekolah / Madrasah / PERTI/ Wilayah)b. Alamat
c. Kecamatand. Kabupaten / Kotae. Provinsif. No. Telp Gudep / Sekolahg. No. Fax Gudep / Sekolahh. E-mail / Websitei. Keanggotaan JUMLAH ANGGOTA SIAGA
i1. SIAGA CALON
i2. PENGGALANG JUMLAH ANGGOTA PENGGALANGCALON
i3. PENEGAK JUMLAH ANGGOTA PENEGAKTAMU
i4. PANDEGA JUMLAH ANGGOTA PANDEGATAMU
Mengetahui : Majelis PembimbingKwarcab/Kwaran Gugusdepan
JUMLAH BARUNG
JUMLAH REGU
JUMLAH SANGGA
JUMLAH REKA
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KWARTIR NASIONAL GERAKAN PRAMUKATAHUN 2011
INSTRUMEN PORTOFOLIO GUGUSDEPAN TERAKDREDITASIIDENTITAS PESERTA AKREDITASI
Penilaian Portofolio
1
JUMLAH ANGGOTA SIAGAMULA BANTU TATA GARUDA
JUMLAH ANGGOTA PENGGALANGRAMU RAKIT TERAP GARUDA
JUMLAH ANGGOTA PENEGAKBANTARA LAKSANA GARUDA
JUMLAH ANGGOTA PANDEGAPANDEGA GARUDA
28 April, 2016
KetuaGugusdepan
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1. DATA KEANGGOTAAN
1.1. GOLONGAN1.1.1. JUMLAH PERINDUKAN SIAGA
NO PERINDUKAN JUMLAH BARUNG
1 1
1.2. PEMBINA SATUAN
NOJUMLAH PEMBINA
NAMA KURSUS YANG DIIKUTI1
123456
1.3. MAJELIS PEMBIMBINGSUSUNAN MAJELIS PEMBIMBING Sekolah/Perti
11
2. STANDAR ADMINISTRASI GUGUS DEPAN
NO JENIS ADMINISTRASI
1 Papan Nama Gugusdepan2 Papan Struktur Organisasi Gudep 2 Buku Registrasi Peserta Didik4 Buku catatan pribadi peserta didik5 Buku presensi6 Buku daftar anggota 7 Log book8 Buku inventaris satuan9 Buku iuran
10 Buku administrasi dana dan keuangan satuan11 Buku registrasi pembina dan anggota Mabi12 Catatan notulen rapat / risalah rapat13 Formulir pelaksanaan kegiatan
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14 Buku agenda, verbal dan expedisi surat menyurat15 Buku acara kegiatan16 Program kegiatan17 Buku laporan keuangan bulanan18 Buku inventaris gugus depan19 Catatan tentang pelaksanaan pelatihan (Program Kegiatan)20 Buku catatan pribadi setiap pembina21 Mengirimkan laporan Gudep ke Kwaran dan Kwarcab22 Buletin Gudep
Jumlah :
3. STANDAR PENGELOLAAN GUDEP
NO JENIS ADMINISTRASI
1 Memiliki ketua Gugusdepan2 Menyelenggarakan Mugus tiga (3) tahun sekali3 Melaksanakan rapat koordinasi antara pembina dan Mabigus4 Melaksanakan rapat pembina Gugusdepan5 Dewan kehormatan Gugusdepan6 Lembaga pemeriksa keuangan7 Melibatkan orang tua peserta didik8 Memiliki rencana rekrut peserta didik dan pembina
9 Memiliki rencana peningkatan kualitas bagi pembina dan anggota dewasa10 Memiliki program latihan mingguan11 Memiliki program kerja Gudep
Jumlah :
4. STANDAR KOMPETENSI PEMBINA
4.1. JENJANG PELATIHAN PEMBINA PRAMUKA
NO NAMA PEMBINA KURSUS
1 12 13 14 15 1
Jumlah 0
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4.2. DAFTAR NAMA PEMBINA DAN KURSUS KEPRAMUKAAN LAINNYA
NO NAMA PEMBINA KURSUS KEPRAMUKAAN LAIN
1
2
3
4
5
6Jumlah
5. STANDAR KEGIATAN
5.1. GOLONGAN SIAGA
NO JENIS KEGIATAN
1 Latihan rutin dengan upacara pembukaan dan upacara penutupan Latihan2 Perkemahan Satu Hari (Persari)3 Pesta Siaga4 Dewan Siaga Aktif
Jumlah :
6. STANDAR PENCAPAIAN SKU-SKK-SP GARUDA
6.1. GOLONGAN SIAGANO PENCAPAIAN SKU, SKK, SPG JUMLAH SKOR
A. SKU1 Calon 0 02 Mula 0 03 Bantu 0 04 Tata 0 0
B. SKK 0 0
C. SPG 0 00
7. STANDAR SARANA PRASARANA
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7.1. GOLONGAN SIAGANO BENTUK SARANA PRASARANA
1 Sanggar Gugusdepan2 Bendera merah putih3 Bendera Gudep 4 Peluit5 Tongkat dengan standarnya6 Talitemali7 Tenda Barung8 Alat kebersihan lengkap9 Alat dan kotak P3K
10 Kotak/Peti perindukan11 Kantong Barung12 Perpustakaan dan buku-buku kepramukaan
Jumlah :
8. PENGALAMAN PEMBINA MENGIKUTI KEGIATAN PADA BIDANG PENDIDIKAN, SOSIAL DAN KEAGAMAAN
NO NAMA PEMBINA JENIS KEGIATAN
1
2
3
4
5
6Jumlah
9. PENGHARGAAN DAN PRESTASI
9.1.GOLONGAN SIAGANO JENIS PENGHARGAAN PEMBERI PENGHARGAAN
1
2 Pesta Siaga (Bazar Siaga)
Penghargaan/Prestasi Gugusdepan pada tingkat ranting
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3
4
JUMAH
Penghargaan/Prestasi Gugusdepan pada tingkat Cabang
Penghargaan/Prestasi gugusdepan tergiat
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JUMLAH BARUNG SKOR
1 0
JUMLAH PEMBINASKOR
KURSUS YANG DIIKUTI0
Campuran SKOR0
JENIS ADMINISTRASI KONDISI
Papan Nama Gugusdepan 0 TIDAK ADAPapan Struktur Organisasi Gudep 0 TIDAK ADABuku Registrasi Peserta Didik 0 TIDAK ADABuku catatan pribadi peserta didik 0 TIDAK ADABuku presensi 0 TIDAK ADABuku daftar anggota 0 TIDAK ADALog book 0 TIDAK ADABuku inventaris satuan 0 TIDAK ADABuku iuran 0 TIDAK ADABuku administrasi dana dan keuangan satuan 0 TIDAK ADABuku registrasi pembina dan anggota Mabi 0 TIDAK ADACatatan notulen rapat / risalah rapat 0 TIDAK ADAFormulir pelaksanaan kegiatan 0 TIDAK ADA
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Buku agenda, verbal dan expedisi surat menyurat 0 TIDAK ADABuku acara kegiatan 0 TIDAK ADAProgram kegiatan 0 TIDAK ADABuku laporan keuangan bulanan 0 TIDAK ADABuku inventaris gugus depan 0 TIDAK ADACatatan tentang pelaksanaan pelatihan (Program Kegiatan) 0 TIDAK ADABuku catatan pribadi setiap pembina 0 TIDAK ADAMengirimkan laporan Gudep ke Kwaran dan Kwarcab 0 TIDAK ADABuletin Gudep 0 TIDAK ADA
Jumlah : ADA 0TIDAK ADA 22
JENIS ADMINISTRASI KONDISI
Memiliki ketua Gugusdepan 0 TIDAK ADAMenyelenggarakan Mugus tiga (3) tahun sekali 0 TIDAK ADAMelaksanakan rapat koordinasi antara pembina dan Mabigus 0 TIDAK ADAMelaksanakan rapat pembina Gugusdepan 0 TIDAK ADADewan kehormatan Gugusdepan 0 TIDAK ADALembaga pemeriksa keuangan 0 TIDAK ADAMelibatkan orang tua peserta didik 0 TIDAK ADAMemiliki rencana rekrut peserta didik dan pembina 0 TIDAK ADAMemiliki rencana peningkatan kualitas bagi pembina dan anggota dewasa 0 TIDAK ADAMemiliki program latihan mingguan 0 TIDAK ADAMemiliki program kerja Gudep 0 TIDAK ADA
Jumlah : ADA 0
TIDAK ADA 11
4. STANDAR KOMPETENSI PEMBINA
KURSUS SHBGOL KEMAHIRAN
S G T D1 YA TIDAK TIDAK TIDAK1 TIDAK TIDAK TIDAK TIDAK TIDAK
TIDAK TIDAK TIDAK TIDAK TIDAK1 TIDAK TIDAK TIDAK TIDAK TIDAK1 TIDAK TIDAK TIDAK TIDAK TIDAK
0
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KURSUS KEPRAMUKAAN LAIN TINGKAT
1
1
1
1
1
1
Jumlah
JENIS KEGIATAN KONDISI
Latihan rutin dengan upacara pembukaan dan upacara penutupan Latihan 0 TIDAK ADAPerkemahan Satu Hari (Persari) 0 TIDAK ADAPesta Siaga 0 TIDAK ADADewan Siaga Aktif 0 TIDAK ADA
Jumlah : ADA 0
TIDAK ADA 4
SKOR
0000
0
00
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BENTUK SARANA PRASARANA KONDISISanggar Gugusdepan 0 TIDAK ADABendera merah putih 0 TIDAK ADABendera Gudep 0 TIDAK ADAPeluit 0 TIDAK ADATongkat dengan standarnya 0 TIDAK ADATalitemali 0 TIDAK ADATenda Barung 0 TIDAK ADAAlat kebersihan lengkap 0 TIDAK ADAAlat dan kotak P3K 0 TIDAK ADAKotak/Peti perindukan 0 TIDAK ADAKantong Barung 0 TIDAK ADAPerpustakaan dan buku-buku kepramukaan 0 TIDAK ADA
Jumlah : ADA 0
TIDAK ADA 12
8. PENGALAMAN PEMBINA MENGIKUTI KEGIATAN PADA BIDANG PENDIDIKAN, SOSIAL DAN KEAGAMAAN
JENIS KEGIATAN TINGKAT PARTISIPASI
1
1
1
1
1
1
Jumlah
PEMBERI PENGHARGAAN TINGKAT TAHUN
1
1
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1
1
JUMAH
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1
0
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SKOR
0000000000000
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000000000
0
SKOR
00000000000
0
4. STANDAR KOMPETENSI PEMBINA
SKOR
0 1 0 0 0 00 0 0 0 0 00 0 0 0 0 00 0 0 0 0 00 0 0 0 0 0
0
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SEBAGAI SKOR
1 0
1 0
1 0
1 0
1 0
1 0Jumlah 0
SKOR
0000
0
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SKOR00000000000
0
0
SEBAGAI SKOR
1 0
1 0
1 0
1 0
1 0
1 0Jumlah 0
SKOR
0
0
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0
0
0
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1. DATA KEANGGOTAAN
1.1. GOLONGAN PENGGALANG
1.1.1. JUMLAH PASUKAN PENGGALANG NO PASUKAN JUMLAH REGU
1 1
1.2. PEMBINA SATUAN
NOJUMLAH PEMBINA
NAMA KURSUS YANG DIIKUTI
1
1
2
3
4
5
6
1.3. MAJELIS PEMBIMBINGSUSUNAN MAJELIS PEMBIMBING Sekolah/Perti
11
2. STANDAR ADMINISTRASI GUGUS DEPAN
NO JENIS ADMINISTRASI
1 Papan Nama Gugusdepan2 Papan Struktur Organisasi Gudep 3 Buku Registrasi Peserta Didik4 Buku catatan pribadi peserta didik5 Buku presensi6 Buku daftar anggota 7 Log book8 Buku inventaris satuan9 Buku iuran
10 Buku administrasi dana dan keuangan satuan11 Buku registrasi pembina dan anggota Mabi12 Catatan notulen rapat / risalah rapat13 Formulir pelaksanaan kegiatan
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14 Buku agenda, verbal dan expedisi surat menyurat15 Buku acara kegiatan16 Program kegiatan17 Buku laporan keuangan bulanan18 Buku inventaris gugus depan19 Catatan tentang pelaksanaan pelatihan (Program Kegiatan)20 Buku catatan pribadi setiap pembina21 Mengirimkan laporan Gudep ke Kwaran dan Kwarcab22 Buletin Gudep
Jumlah :
3. STANDAR PENGELOLAAN GUDEP
NO JENIS ADMINISTRASI
1 Memiliki ketua Gugusdepan2 Menyelenggarakan Mugus tiga (3) tahun sekali3 Melaksanakan rapat koordinasi antara pembina dan Mabigus4 Melaksanakan rapat pembina Gugusdepan5 Dewan kehormatan Gugusdepan6 Lembaga pemeriksa keuangan7 Melibatkan orang tua peserta didik8 Memiliki rencana rekrut peserta didik dan pembina
9 Memiliki rencana peningkatan kualitas bagi pembina dan anggota dewasa10 Memiliki program latihan mingguan11 Memiliki program kerja Gudep
Jumlah :
4. STANDAR KOMPETENSI PEMBINA
4.1. JENJANG PELATIHAN PEMBINA PRAMUKA
NO NAMA PEMBINAKURSUS
BK OK KMD
1 1
2 1
3 1
4 1
5 1
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Jumlah 0
4.2. DAFTAR NAMA PEMBINA DAN KURSUS KEPRAMUKAAN LAINNYA
NO NAMA PEMBINA KURSUS KEPRAMUKAAN LAINNYA
1
2
3
4
5
6JUMLAH
5. STANDAR KEGIATAN
5.2. GOLONGAN PENGGALANG
NO JENIS KEGIATAN
1 Latihan rutin dengan upacara pembukaan dan upacara penutupan Latihan2 Lomba Tingkat 13 Perkemahan jum'at,Sabtu, Minggu (Perjusami)4 Kegiatan peduli lingkungan5 Gladian Pemimpin Regu (Dianpinru)6 Dewan Regu aktif7 Dewan Penggalang aktif8 Dewan Kehormatan Penggalang aktif9 Majelis Penggalang Aktif
Jumlah :
6.2. GOLONGAN PENGGALANGNO PENCAPAIAN SKU, SKK, SPG JUMLAH SKOR
A. SKU1 Calon 0 02 Ramu 0 03 Rakit 0 04 Terap 0 0
B. SKK1 Purwa 0 0
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2 Madya 0 03 Utama 0 0
C. SPG 0 00
7.2. GOLONGAN PENGGALANG
NO JENIS SARANA PRASARANA
1 Sanggar Gugusdepan
2 Bendera merah putih
3 Bendera Gudep
4 Bendera semaphore
5 Bendera morse
6 Peluit
7 Tongkat
8 Tali
9 Kompas
10 Peta topografi
11 Tenda regu
12 Tenda dapur
13 Alat kebersihan lengkap
14 Alat dan kotak P3K
15 Alat dapur lengkap dan box penyimpanannya
16 Lemari dan box penyimpanan alat kegiatan
17 Perpustakaan dan buku-buku kepramukaan
Jumlah :
8. PENGALAMAN PEMBINA MENGIKUTI KEGIATAN PADA BIDANG PENDIDIKAN, SOSIAL DAN KEAGAMAAN
NO NAMA PEMBINA JENIS KEGIATAN
1
2
3
4
5
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6
Jumlah
9. PENGHARGAAN DAN PRESTASI
9.2.GOLONGAN PENGGALANGNO JENIS PENGHARGAAN PEMBERI PENGHARGAAN
1
2
3
4
5
JUMLAH
Penghargaan/Prestasi Gugusdepan pada tingkat ranting
Penghargaan/Prestasi Gugusdepan pada tingkat Cabang
Penghargaan/Prestasi Gugusdepan pada tingkat Daerah
Penghargaan/Prestasi Gugusdepan pada tingkat Nasional
Penghargaan/Prestasi gugusdepan tergiat
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JUMLAH REGU SKOR
1 0
JUMLAH PEMBINASKOR
KURSUS YANG DIIKUTI
0
Campuran SKOR
0
JENIS ADMINISTRASI KONDISI
Papan Nama Gugusdepan 0 TIDAK ADAPapan Struktur Organisasi Gudep 0 TIDAK ADABuku Registrasi Peserta Didik 0 TIDAK ADABuku catatan pribadi peserta didik 0 TIDAK ADABuku presensi 0 TIDAK ADABuku daftar anggota 0 TIDAK ADALog book 0 TIDAK ADABuku inventaris satuan 0 TIDAK ADABuku iuran 0 TIDAK ADABuku administrasi dana dan keuangan satuan 0 TIDAK ADABuku registrasi pembina dan anggota Mabi 0 TIDAK ADACatatan notulen rapat / risalah rapat 0 TIDAK ADAFormulir pelaksanaan kegiatan 0 TIDAK ADA
![Page 378: Portofolio akreditasi gudep](https://reader035.vdocuments.pub/reader035/viewer/2022081414/577c7ff71a28abe054a6bf1e/html5/thumbnails/378.jpg)
Buku agenda, verbal dan expedisi surat menyurat 0 TIDAK ADABuku acara kegiatan 0 TIDAK ADAProgram kegiatan 0 TIDAK ADABuku laporan keuangan bulanan 0 TIDAK ADABuku inventaris gugus depan 0 TIDAK ADACatatan tentang pelaksanaan pelatihan (Program Kegiatan) 0 TIDAK ADABuku catatan pribadi setiap pembina 0 TIDAK ADAMengirimkan laporan Gudep ke Kwaran dan Kwarcab 0 TIDAK ADABuletin Gudep 0 TIDAK ADA
Jumlah : ADA 0TIDAK ADA 22
JENIS ADMINISTRASI KONDISI
Memiliki ketua Gugusdepan 0 TIDAK ADAMenyelenggarakan Mugus tiga (3) tahun sekali 0 TIDAK ADAMelaksanakan rapat koordinasi antara pembina dan Mabigus 0 TIDAK ADAMelaksanakan rapat pembina Gugusdepan 0 TIDAK ADADewan kehormatan Gugusdepan 0 TIDAK ADALembaga pemeriksa keuangan 0 TIDAK ADAMelibatkan orang tua peserta didik 0 TIDAK ADAMemiliki rencana rekrut peserta didik dan pembina 0 TIDAK ADAMemiliki rencana peningkatan kualitas bagi pembina dan anggota dewasa 0 TIDAK ADAMemiliki program latihan mingguan 0 TIDAK ADAMemiliki program kerja Gudep 0 TIDAK ADA
Jumlah : ADA 0
TIDAK ADA 11
4. STANDAR KOMPETENSI PEMBINA
KURSUS SHB
GOL KEMAHIRANKML S G T D
1 TIDAK TIDAK TIDAK TIDAK TIDAK
1 TIDAK TIDAK TIDAK TIDAK TIDAK
1 TIDAK TIDAK TIDAK TIDAK TIDAK
1 TIDAK TIDAK TIDAK TIDAK TIDAK
TIDAK TIDAK TIDAK TIDAK TIDAK
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0
KURSUS KEPRAMUKAAN LAINNYA TINGKAT
1
1
1
1
1
1JUMLAH
JENIS KEGIATAN KONDISI
Latihan rutin dengan upacara pembukaan dan upacara penutupan Latihan 0 TIDAK ADALomba Tingkat 1 0 TIDAK ADAPerkemahan jum'at,Sabtu, Minggu (Perjusami) 0 TIDAK ADAKegiatan peduli lingkungan 0 TIDAK ADAGladian Pemimpin Regu (Dianpinru) 0 TIDAK ADADewan Regu aktif 0 TIDAK ADADewan Penggalang aktif 0 TIDAK ADADewan Kehormatan Penggalang aktif 0 TIDAK ADAMajelis Penggalang Aktif 0 TIDAK ADA
Jumlah : ADA 0
TIDAK ADA 9
SKOR
0000
0
![Page 380: Portofolio akreditasi gudep](https://reader035.vdocuments.pub/reader035/viewer/2022081414/577c7ff71a28abe054a6bf1e/html5/thumbnails/380.jpg)
00
00
JENIS SARANA PRASARANA KONDISI
Sanggar Gugusdepan 0 TIDAK ADA
Bendera merah putih 0 TIDAK ADA
Bendera Gudep 0 TIDAK ADA
Bendera semaphore 0 TIDAK ADA
Bendera morse 0 TIDAK ADA
Peluit 0 TIDAK ADA
Tongkat 0 TIDAK ADA
Tali 0 TIDAK ADA
Kompas 0 TIDAK ADA
Peta topografi 0 TIDAK ADA
Tenda regu 0 TIDAK ADA
Tenda dapur 0 TIDAK ADA
Alat kebersihan lengkap 0 TIDAK ADA
Alat dan kotak P3K 0 TIDAK ADA
Alat dapur lengkap dan box penyimpanannya 0 TIDAK ADA
Lemari dan box penyimpanan alat kegiatan 0 TIDAK ADA
Perpustakaan dan buku-buku kepramukaan 0 TIDAK ADA
Jumlah : ADA 0
TIDAK ADA 17
8. PENGALAMAN PEMBINA MENGIKUTI KEGIATAN PADA BIDANG PENDIDIKAN, SOSIAL DAN KEAGAMAAN
JENIS KEGIATAN TINGKAT PARTISIPASI
1
1
1
1
1
![Page 381: Portofolio akreditasi gudep](https://reader035.vdocuments.pub/reader035/viewer/2022081414/577c7ff71a28abe054a6bf1e/html5/thumbnails/381.jpg)
1
Jumlah
PEMBERI PENGHARGAAN TINGKAT TAHUN
1
1
1
1
1
JUMLAH
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SKOR
0000000000000
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000000000
0
SKOR
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4. STANDAR KOMPETENSI PEMBINA
SKOR
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0 0 0 0 0 0
0 0 0 0 0 0
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0 1 1 1 1
SEBAGAI SKOR
1 0
1 0
1 0
1 0
1 0
1 0JUMLAH 0
SKOR
000000000
0
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SKOR
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
SEBAGAI SKOR
1 0
1 0
1 0
1 0
1 0
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1 0
Jumlah 0
SKOR
0
0
0
0
0
0
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4
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1. DATA KEANGGOTAAN
1.1. GOLONGAN PENEGAK
1.1.1. JUMLAH AMBALANNO AMBALAN JUMLAH SANGGA
1 1
1.2. PEMBINA SATUAN
NOJUMLAH PEMBINA
NAMA KURSUS YANG DIIKUTI
1123456
1.3. MAJELIS PEMBIMBINGSUSUNAN MAJELIS PEMBIMBING Sekolah/Perti
1
2. STANDAR ADMINISTRASI GUGUS DEPAN
NO JENIS ADMINISTRASI
1 Papan Nama Gugusdepan2 Papan Struktur Organisasi Gudep 3 Buku Registrasi Peserta Didik4 Buku catatan pribadi peserta didik5 Buku presensi6 Buku daftar anggota 7 Log book8 Buku inventaris satuan9 Buku iuran10 Buku administrasi dana dan keuangan satuan11 Buku registrasi pembina dan anggota Mabi12 Catatan notulen rapat / risalah rapat13 Formulir pelaksanaan kegiatan14 Buku agenda, verbal dan expedisi surat menyurat
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15 Buku acara kegiatan16 Program kegiatan17 Buku laporan keuangan bulanan18 Buku inventaris gugus depan19 Catatan tentang pelaksanaan pelatihan (Program Kegiatan)20 Buku catatan pribadi setiap pembina21 Mengirimkan laporan Gudep ke Kwaran dan Kwarcab22 Buletin Gudep
Jumlah :
3. STANDAR PENGELOLAAN GUDEP
NO JENIS ADMINISTRASI
1 Memiliki ketua Gugusdepan2 Menyelenggarakan Mugus tiga (3) tahun sekali3 Melaksanakan rapat koordinasi antara pembina dan Mabigus4 Melaksanakan rapat pembina Gugusdepan5 Dewan kehormatan Gugusdepan6 Lembaga pemeriksa keuangan7 Melibatkan orang tua peserta didik8 Memiliki rencana rekrut peserta didik dan pembina
9 Memiliki rencana peningkatan kualitas bagi pembina dan anggota dewasa10 Memiliki program latihan mingguan11 Memiliki program kerja Gudep
Jumlah :
4. STANDAR KOMPETENSI PEMBINA
4.1. JENJANG PELATIHAN PEMBINA PRAMUKA
NO NAMA PEMBINAKURSUS
BK OK
1 1
2 1
3 1
4 1
5 1Jumlah 0
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4.2. DAFTAR NAMA PEMBINA DAN KURSUS KEPRAMUKAAN LAINNYA
NO NAMA PEMBINA KURSUS KEPRAMUKAAN LAINNYA
1
2
3
4
5
6JUMLAH
5. STANDAR KEGIATAN
5.2. GOLONGAN PENEGAK
NO JENIS KEGIATAN
1 Latihan rutin dengan upacara pembukaan dan upacara penutupan Latihan2 Perkemahan jum'at,Sabtu, Minggu (Perjusami)3 Pengembaraan4 Kegiatan Satuan Karya5 Kegiatan Peduli Lingkungan6 Gladian Pemimpin Satuan (dianpinsat)7 Dewan Penegak aktif8 Dewan Kehormatan Penegak aktif9 Latihan Pengembangan Kepemimpinan (LPK)
Jumlah :
6.2. GOLONGAN PENEGAKNO PENCAPAIAN SKU, SKK, SPG JUMLAH
A. SKU1 Calon2 Bantara3 Laksana
B. SKK1 Purwa2 Madya3 Utama
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C. SPG
7.2. GOLONGAN PENEGAK
NO JENIS SARANA PRASARANA
1 Sanggar Gugusdepan
2 Bendera merah putih
3 Bendera Gudep
4 Bendera semaphore
5 Bendera morse
6 Peluit
7 Tongkat
8 Tali
9 Kompas
10 Peta topografi
11 Tenda regu
12 Tenda dapur
13 Alat kebersihan lengkap
14 Alat dan kotak P3K
15 Alat dapur lengkap dan box penyimpanannya
16 Lemari dan box penyimpanan alat kegiatan
17 Perpustakaan dan buku-buku kepramukaan
Jumlah :
8. PENGALAMAN PEMBINA MENGIKUTI KEGIATAN PADA BIDANG PENDIDIKAN, SOSIAL DAN KEAGAMAAN
NO NAMA PEMBINA JENIS KEGIATAN
1
2
3
4
5
6Jumlah
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9. PENGHARGAAN DAN PRESTASI
9.2.GOLONGAN PENEGAKNO JENIS PENGHARGAAN PEMBERI PENGHARGAAN
1
JUMLAH
Penghargaan/Prestasi gugusdepan tergiat
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JUMLAH SANGGA SKOR
1 0
JUMLAH PEMBINASKOR
KURSUS YANG DIIKUTI
0
Sekolah/Perti Campuran SKOR0
1
JENIS ADMINISTRASI KONDISI
Papan Nama Gugusdepan 0 TIDAK ADAPapan Struktur Organisasi Gudep 0 TIDAK ADABuku Registrasi Peserta Didik 0 TIDAK ADABuku catatan pribadi peserta didik 0 TIDAK ADABuku presensi 0 TIDAK ADABuku daftar anggota 0 TIDAK ADALog book 0 TIDAK ADABuku inventaris satuan 0 TIDAK ADABuku iuran 0 TIDAK ADABuku administrasi dana dan keuangan satuan 0 TIDAK ADABuku registrasi pembina dan anggota Mabi 0 TIDAK ADACatatan notulen rapat / risalah rapat 0 TIDAK ADAFormulir pelaksanaan kegiatan 0 TIDAK ADABuku agenda, verbal dan expedisi surat menyurat 0 TIDAK ADA
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Buku acara kegiatan 0 TIDAK ADAProgram kegiatan 0 TIDAK ADABuku laporan keuangan bulanan 0 TIDAK ADABuku inventaris gugus depan 0 TIDAK ADACatatan tentang pelaksanaan pelatihan (Program Kegiatan) 0 TIDAK ADABuku catatan pribadi setiap pembina 0 TIDAK ADAMengirimkan laporan Gudep ke Kwaran dan Kwarcab 0 TIDAK ADABuletin Gudep 0 TIDAK ADA
Jumlah : ADA 0TIDAK ADA 22
JENIS ADMINISTRASI KONDISI
Memiliki ketua Gugusdepan 0 TIDAK ADAMenyelenggarakan Mugus tiga (3) tahun sekali 0 TIDAK ADAMelaksanakan rapat koordinasi antara pembina dan Mabigus 0 TIDAK ADAMelaksanakan rapat pembina Gugusdepan 0 TIDAK ADADewan kehormatan Gugusdepan 0 TIDAK ADALembaga pemeriksa keuangan 0 TIDAK ADAMelibatkan orang tua peserta didik 0 TIDAK ADAMemiliki rencana rekrut peserta didik dan pembina 0 TIDAK ADAMemiliki rencana peningkatan kualitas bagi pembina dan anggota dewasa 0 TIDAK ADAMemiliki program latihan mingguan 0 TIDAK ADAMemiliki program kerja Gudep 0 TIDAK ADA
Jumlah : ADA 0
TIDAK ADA 11
4. STANDAR KOMPETENSI PEMBINA
KURSUS SHB
GOL KEMAHIRANKMD KML S G T
1 TIDAK TIDAK TIDAK TIDAK
1 TIDAK TIDAK TIDAK TIDAK
1 TIDAK TIDAK TIDAK TIDAK
1 TIDAK TIDAK TIDAK TIDAK
TIDAK TIDAK TIDAK TIDAK0
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4.2. DAFTAR NAMA PEMBINA DAN KURSUS KEPRAMUKAAN LAINNYA
KURSUS KEPRAMUKAAN LAINNYA TINGKAT
1
1
1
1
1
1JUMLAH
JENIS KEGIATAN KONDISI
Latihan rutin dengan upacara pembukaan dan upacara penutupan Latihan 0 TIDAK ADAPerkemahan jum'at,Sabtu, Minggu (Perjusami) 0 TIDAK ADA
0 TIDAK ADAKegiatan Satuan Karya 0 TIDAK ADAKegiatan Peduli Lingkungan 0 TIDAK ADAGladian Pemimpin Satuan (dianpinsat) 0 TIDAK ADADewan Penegak aktif 0 TIDAK ADADewan Kehormatan Penegak aktif 0 TIDAK ADALatihan Pengembangan Kepemimpinan (LPK) 0 TIDAK ADA
Jumlah : ADA 0
TIDAK ADA 9
SKOR
000
000
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00
JENIS SARANA PRASARANA KONDISI
Sanggar Gugusdepan 0 TIDAK ADA
Bendera merah putih 0 TIDAK ADA
Bendera Gudep 0 TIDAK ADA
Bendera semaphore 0 TIDAK ADA
Bendera morse 0 TIDAK ADA
Peluit 0 TIDAK ADA
Tongkat 0 TIDAK ADA
Tali 0 TIDAK ADA
Kompas 0 TIDAK ADA
Peta topografi 0 TIDAK ADA
Tenda regu 0 TIDAK ADA
Tenda dapur 0 TIDAK ADA
Alat kebersihan lengkap 0 TIDAK ADA
Alat dan kotak P3K 0 TIDAK ADA
Alat dapur lengkap dan box penyimpanannya 0 TIDAK ADA
Lemari dan box penyimpanan alat kegiatan 0 TIDAK ADA
Perpustakaan dan buku-buku kepramukaan 0 TIDAK ADA
Jumlah : ADA 0
TIDAK ADA 17
8. PENGALAMAN PEMBINA MENGIKUTI KEGIATAN PADA BIDANG PENDIDIKAN, SOSIAL DAN KEAGAMAAN
JENIS KEGIATAN TINGKAT PARTISIPASI
1
1
1
1
1
1
Jumlah
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PEMBERI PENGHARGAAN TINGKAT TAHUN
1JUMLAH
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KONDISI SKOR
TIDAK ADA 0TIDAK ADA 0TIDAK ADA 0TIDAK ADA 0TIDAK ADA 0TIDAK ADA 0TIDAK ADA 0TIDAK ADA 0TIDAK ADA 0TIDAK ADA 0TIDAK ADA 0TIDAK ADA 0TIDAK ADA 0TIDAK ADA 0
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TIDAK ADA 0TIDAK ADA 0TIDAK ADA 0TIDAK ADA 0TIDAK ADA 0TIDAK ADA 0TIDAK ADA 0TIDAK ADA 0
00
22
KONDISI SKOR
TIDAK ADA 0TIDAK ADA 0TIDAK ADA 0TIDAK ADA 0TIDAK ADA 0TIDAK ADA 0TIDAK ADA 0TIDAK ADA 0TIDAK ADA 0TIDAK ADA 0TIDAK ADA 0
00
11
4. STANDAR KOMPETENSI PEMBINA
GOL KEMAHIRANSKOR
D
TIDAK 0 0 0 0 0
TIDAK 0 0 0 0 0
TIDAK 0 0 0 0 0
TIDAK 0 0 0 0 0
TIDAK 0 0 0 0 00
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TINGKAT SEBAGAI SKOR
1 1 1 0
1 1 0
1 1 0
1 1 0
1 1 0
1 1 0JUMLAH 0
KONDISI SKOR
TIDAK ADA 0TIDAK ADA 0TIDAK ADA 0TIDAK ADA 0TIDAK ADA 0TIDAK ADA 0TIDAK ADA 0TIDAK ADA 0TIDAK ADA 0
00
9
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KONDISI SKOR
TIDAK ADA 0
TIDAK ADA 0
TIDAK ADA 0
TIDAK ADA 0
TIDAK ADA 0
TIDAK ADA 0
TIDAK ADA 0
TIDAK ADA 0
TIDAK ADA 0
TIDAK ADA 0
TIDAK ADA 0
TIDAK ADA 0
TIDAK ADA 0
TIDAK ADA 0
TIDAK ADA 0
TIDAK ADA 0
TIDAK ADA 0
00
17
TINGKAT PARTISIPASI SEBAGAI SKOR
1 1 0
1 1 0
1 1 0
1 1 0
1 1 0
1 1 0Jumlah 0
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TAHUN SKOR
0JUMLAH 0
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1. DATA KEANGGOTAAN
1.1. GOLONGAN PANDEGA
1.1.1. JUMLAH RACANANO RACANA JUMLAH REKA
1 1
1.2. PEMBINA SATUAN
NOJUMLAH PEMBINA
NAMA KURSUS YANG DIIKUTI
1
1
2
3
4
5
6
1.3. MAJELIS PEMBIMBINGSUSUNAN MAJELIS PEMBIMBING Sekolah/Perti
1
2. STANDAR ADMINISTRASI GUGUS DEPAN
NO JENIS ADMINISTRASI
1 Papan Nama Gugusdepan2 Papan Struktur Organisasi Gudep 3 Buku Registrasi Peserta Didik4 Buku catatan pribadi peserta didik5 Buku presensi6 Buku daftar anggota 7 Log book8 Buku inventaris satuan9 Buku iuran10 Buku administrasi dana dan keuangan satuan11 Buku registrasi pembina dan anggota Mabi12 Catatan notulen rapat / risalah rapat13 Formulir pelaksanaan kegiatan
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14 Buku agenda, verbal dan expedisi surat menyurat15 Buku acara kegiatan16 Program kegiatan17 Buku laporan keuangan bulanan18 Buku inventaris gugus depan19 Catatan tentang pelaksanaan pelatihan (Program Kegiatan)20 Buku catatan pribadi setiap pembina21 Mengirimkan laporan Gudep ke Kwaran dan Kwarcab22 Buletin Gudep
Jumlah :
3. STANDAR PENGELOLAAN GUDEP
NO JENIS ADMINISTRASI
1 Memiliki ketua Gugusdepan
2 Menyelenggarakan Mugus tiga (3) tahun sekali
3 Melaksanakan rapat koordinasi antara pembina dan Mabigus
4 Melaksanakan rapat pembina Gugusdepan
5 Dewan kehormatan Gugusdepan
6 Lembaga pemeriksa keuangan
7 Melibatkan orang tua peserta didik
8 Memiliki rencana rekrut peserta didik dan pembina
9 Memiliki rencana peningkatan kualitas bagi pembina dan anggota dewasa
10 Memiliki program latihan mingguan
11 Memiliki program kerja Gudep
Jumlah :
4. STANDAR KOMPETENSI PEMBINA
4.1. JENJANG PELATIHAN PEMBINA PRAMUKA
NO NAMA PEMBINAKURSUS
BK OK
1 1
2 1
3 1
4 1
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5 1Jumlah 0
4.2. DAFTAR NAMA PEMBINA DAN KURSUS KEPRAMUKAAN LAINNYA
NO NAMA PEMBINA KURSUS KEPRAMUKAAN LAINNYA
1
2
3
4
5
6JUMLAH
5. STANDAR KEGIATAN
5.2. GOLONGAN PANDEGA
NO JENIS KEGIATAN
1 Latihan rutin dengan upacara pembukaan dan upacara penutupan Latihan
2 Perkemahan jum'at,Sabtu, Minggu (Perjusami)
3 Pengembaraan
4 Kegiatan Satuan Karya
5 Kegiatan Peduli Lingkungan
6 Dewan Pandega Aktif
7 Dewan Kehormatan Penegak Aktif
8 Bina Satuan
9 Latihan Pengembangan Kepemimpinan (LPK)
Jumlah :
6.2. GOLONGAN PENEGAKNO PENCAPAIAN SKU, SKK, SPG JUMLAH
A. SKU1 Calon3 Pandega
B. SKK
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1 Purwa2 Madya3 Utama
C. SPG
7.2. GOLONGAN PANDEGA
NO JENIS SARANA PRASARANA
1 Sanggar Gugusdepan
2 Bendera merah putih
3 Bendera Gudep
4 Bendera semaphore
5 Bendera morse
6 Peluit
7 Tongkat
8 Tali
9 Kompas
10 Peta topografi
11 Tenda regu
12 Tenda dapur
13 Alat kebersihan lengkap
14 Alat dan kotak P3K
15 Alat dapur lengkap dan box penyimpanannya
16 Lemari dan box penyimpanan alat kegiatan
17 Perpustakaan dan buku-buku kepramukaan
Jumlah :
8. PENGALAMAN PEMBINA MENGIKUTI KEGIATAN PADA BIDANG PENDIDIKAN, SOSIAL DAN KEAGAMAAN
NO NAMA PEMBINA JENIS KEGIATAN
1
2
3
4
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5
6
Jumlah
9. PENGHARGAAN DAN PRESTASI
9.2.GOLONGAN PANDEGANO JENIS PENGHARGAAN PEMBERI PENGHARGAAN
1
JUMLAH
Penghargaan/Prestasi gugusdepan tergiat
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JUMLAH REKA SKOR
1 0
JUMLAH PEMBINASKOR
KURSUS YANG DIIKUTI
0
Sekolah/Perti Campuran SKOR
1 02
JENIS ADMINISTRASI KONDISI
Papan Nama Gugusdepan 0 TIDAK ADAPapan Struktur Organisasi Gudep 0 TIDAK ADABuku Registrasi Peserta Didik 0 TIDAK ADABuku catatan pribadi peserta didik 0 TIDAK ADABuku presensi 0 TIDAK ADABuku daftar anggota 0 TIDAK ADALog book 0 TIDAK ADABuku inventaris satuan 0 TIDAK ADABuku iuran 0 TIDAK ADABuku administrasi dana dan keuangan satuan 0 TIDAK ADABuku registrasi pembina dan anggota Mabi 0 TIDAK ADACatatan notulen rapat / risalah rapat 0 TIDAK ADAFormulir pelaksanaan kegiatan 0 TIDAK ADA
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Buku agenda, verbal dan expedisi surat menyurat 0 TIDAK ADABuku acara kegiatan 0 TIDAK ADAProgram kegiatan 0 TIDAK ADABuku laporan keuangan bulanan 0 TIDAK ADABuku inventaris gugus depan 0 TIDAK ADACatatan tentang pelaksanaan pelatihan (Program Kegiatan) 0 TIDAK ADABuku catatan pribadi setiap pembina 0 TIDAK ADAMengirimkan laporan Gudep ke Kwaran dan Kwarcab 0 TIDAK ADABuletin Gudep 0 TIDAK ADA
Jumlah : ADA 0TIDAK ADA 22
JENIS ADMINISTRASI KONDISI
Memiliki ketua Gugusdepan 0 TIDAK ADA
Menyelenggarakan Mugus tiga (3) tahun sekali 0 TIDAK ADA
Melaksanakan rapat koordinasi antara pembina dan Mabigus 0 TIDAK ADA
Melaksanakan rapat pembina Gugusdepan 0 TIDAK ADA
Dewan kehormatan Gugusdepan 0 TIDAK ADA
Lembaga pemeriksa keuangan 0 TIDAK ADA
Melibatkan orang tua peserta didik 0 TIDAK ADA
Memiliki rencana rekrut peserta didik dan pembina 0 TIDAK ADA
Memiliki rencana peningkatan kualitas bagi pembina dan anggota dewasa 0 TIDAK ADA
Memiliki program latihan mingguan 0 TIDAK ADA
Memiliki program kerja Gudep 0 TIDAK ADA
Jumlah : ADA 0
TIDAK ADA 11
4. STANDAR KOMPETENSI PEMBINA
KURSUS SHB
GOL KEMAHIRANKMD KML S G T
1 TIDAK TIDAK TIDAK TIDAK
1 TIDAK TIDAK TIDAK TIDAK
1 TIDAK TIDAK TIDAK TIDAK
1 TIDAK TIDAK TIDAK TIDAK
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TIDAK TIDAK TIDAK TIDAK0
4.2. DAFTAR NAMA PEMBINA DAN KURSUS KEPRAMUKAAN LAINNYA
KURSUS KEPRAMUKAAN LAINNYA TINGKAT
1
1
1
1
1
1JUMLAH
JENIS KEGIATAN KONDISI
Latihan rutin dengan upacara pembukaan dan upacara penutupan Latihan 0 TIDAK ADA
Perkemahan jum'at,Sabtu, Minggu (Perjusami) 0 TIDAK ADA
0 TIDAK ADA
Kegiatan Satuan Karya 0 TIDAK ADA
Kegiatan Peduli Lingkungan 0 TIDAK ADA
Dewan Pandega Aktif 0 TIDAK ADA
Dewan Kehormatan Penegak Aktif 0 TIDAK ADA
Bina Satuan 0 TIDAK ADA
Latihan Pengembangan Kepemimpinan (LPK) 0 TIDAK ADA
Jumlah : ADA 0
TIDAK ADA 9
SKOR
00
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000
00
JENIS SARANA PRASARANA KONDISI
Sanggar Gugusdepan 0 TIDAK ADA
Bendera merah putih 0 TIDAK ADA
Bendera Gudep 0 TIDAK ADA
Bendera semaphore 0 TIDAK ADA
Bendera morse 0 TIDAK ADA
Peluit 0 TIDAK ADA
Tongkat 0 TIDAK ADA
Tali 0 TIDAK ADA
Kompas 0 TIDAK ADA
Peta topografi 0 TIDAK ADA
Tenda regu 0 TIDAK ADA
Tenda dapur 0 TIDAK ADA
Alat kebersihan lengkap 0 TIDAK ADA
Alat dan kotak P3K 0 TIDAK ADA
Alat dapur lengkap dan box penyimpanannya 0 TIDAK ADA
Lemari dan box penyimpanan alat kegiatan 0 TIDAK ADA
Perpustakaan dan buku-buku kepramukaan 0 TIDAK ADA
Jumlah : ADA 0
TIDAK ADA 17
8. PENGALAMAN PEMBINA MENGIKUTI KEGIATAN PADA BIDANG PENDIDIKAN, SOSIAL DAN KEAGAMAAN
JENIS KEGIATAN TINGKAT PARTISIPASI
1
1
1
1
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1
1
Jumlah
PEMBERI PENGHARGAAN TINGKAT TAHUN
1JUMLAH
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KONDISI SKOR
TIDAK ADA 0TIDAK ADA 0TIDAK ADA 0TIDAK ADA 0TIDAK ADA 0TIDAK ADA 0TIDAK ADA 0TIDAK ADA 0TIDAK ADA 0TIDAK ADA 0TIDAK ADA 0TIDAK ADA 0TIDAK ADA 0
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TIDAK ADA 0TIDAK ADA 0TIDAK ADA 0TIDAK ADA 0TIDAK ADA 0TIDAK ADA 0TIDAK ADA 0TIDAK ADA 0TIDAK ADA 0
00
22
KONDISI SKOR
TIDAK ADA 0
TIDAK ADA 0
TIDAK ADA 0
TIDAK ADA 0
TIDAK ADA 0
TIDAK ADA 0
TIDAK ADA 0
TIDAK ADA 0
TIDAK ADA 0
TIDAK ADA 0
TIDAK ADA 0
00
11
4. STANDAR KOMPETENSI PEMBINA
GOL KEMAHIRANSKOR
D
TIDAK 0 0 0 0 0
TIDAK 0 0 0 0 0
TIDAK 0 0 0 0 0
TIDAK 0 0 0 0 0
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TIDAK 0 0 0 0 00
TINGKAT SEBAGAI SKOR
1 1 0
1 1 0
1 1 0
1 1 0
1 1 0
1 1 0JUMLAH 0
KONDISI SKOR
TIDAK ADA 0
TIDAK ADA 0
TIDAK ADA 0
TIDAK ADA 0
TIDAK ADA 0
TIDAK ADA 0
TIDAK ADA 0
TIDAK ADA 0
TIDAK ADA 0
00
9
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KONDISI SKOR
TIDAK ADA 0
TIDAK ADA 0
TIDAK ADA 0
TIDAK ADA 0
TIDAK ADA 0
TIDAK ADA 0
TIDAK ADA 0
TIDAK ADA 0
TIDAK ADA 0
TIDAK ADA 0
TIDAK ADA 0
TIDAK ADA 0
TIDAK ADA 0
TIDAK ADA 0
TIDAK ADA 0
TIDAK ADA 0
TIDAK ADA 0
00
17
TINGKAT PARTISIPASI SEBAGAI SKOR
1 1 0
1 1 0
1 1 0
1 1 0
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1 1 0
1 1 0
Jumlah 0
TAHUN SKOR
0
JUMLAH 0
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0
0
0
0
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0
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