You are on page 1of 2

Blanko Pencatatan Multistage FT

Nama :

Umur :

Berat Badan :
Level Balikan
1 1234567
2 12345678
3 12345678
4 123456789
5 123456789
6 1 2 3 4 5 6 7 8 9 10
7 1 2 3 4 5 6 7 8 9 10
8 1 2 3 4 5 6 7 8 9 10 11
9 1 2 3 4 5 6 7 8 9 10 11
10 1 2 3 4 5 6 7 8 9 10 11
11 1 2 3 4 5 6 7 8 9 10 11 12
12 1 2 3 4 5 6 7 8 9 10 11 12
13 1 2 3 4 5 6 7 8 9 10 11 12 13
14 1 2 3 4 5 6 7 8 9 10 11 12 13
15 1 2 3 4 5 6 7 8 9 10 11 12 13
16 1 2 3 4 5 6 7 8 9 10 11 12 13 14
17 1 2 3 4 5 6 7 8 9 10 11 12 13 14
18 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
19 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
20 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
21 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
Level :
Jumlah
Balikan :
NO KOMPONEN ITEM TEST HASIL
1 Fleksibilitas Sit And Reach
2 Kecepatan 20 M
3 Kelincahan Illinois
Vertical Jump
PUSH UP … Kali
4 Kekuatan
SIT UP … Kali
PULL UP … Kali
5 Daya Tahan Umum Bleep Tes

You might also like