Karta Próby Wędrownik.

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Karta Próby Wędrownik.

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Karta zhp

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Karta prby

Imi, nazwisko i stopie kandydata:

Data posiedzenia Kapituy (otwarcia niniejszej prby):
Imi, nazwisko i stopie opiekuna:
Proponowany termin zakoczenia prby:
Termin zakoczenia prby (wypenia Kapitua po uzgodnieniu innego terminu ni
proponowany): .............................................................................................

Lp. Zadanie Sposb i forma Potwierdzenie

realizacji
1.
2.
3.
4.
5.

Podpis opiekuna: .........................................................

Podpis kandydata: ........................................................

Decyzja Kapituy o otwarciu prby: ........................................................

(Data i podpisy czonkw Kapituy)

Decyzja Kapituy o zamkniciu prby: ......................................................

(Data i podpisy czonkw Kapituy)

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