Rashtrapati Scout Form
Rashtrapati Scout Form
Rashtrapati Scout Form
3. Date of Birth
(Supported by Admit Card/Mark Sheet/Certificate of class X/Secondary Board
Examination, attested copy of certificate should be attached)
4. Home Address
P.O. District State
Pin code Telephone/Mob. No.
E-mail ID _________________________________________ Aadhaar No.________________________________
(Attach photocopy of Aadhaar Card)
5. Name and address of Unit
,,,,,, District
Charter No. Date of Issue Date of Validity
Seal & Signature of District Organising Commissioner (Scout) Seal & Signature of District Secretary
Date: Date:
Seal & Signature of State Organising Commissioner (Scout) Seal & Signature of State Secretary
Date: Date:
NB: Information Sheet attached.
S/o is a student of
Signature
Date................. (Office Seal) Head of the Institution
THE BHARAT SCOUTS AND GUIDES, NATIONAL HEADQUARTERS, NEW DELHI
INFORMATION SHEET FOR SCOUT
(to be attached with Rashtrapati Scout Award Registration Form)
NB: To be filled by the Candidate in his own handwriting in capital letters. Overwriting / use of fluid will not be accepted.
13 (3) of APRO II (Detail of Ambulance Man Badge earned for Rajya Puraskar)
Date of Passing Name of the Examiner
Note: A copy of appointment letter from Group Leader/ADC/DOC and list of Scouts who earned the Proficiency Badge
to be produced.
OR
Alternative to the above (Teaching Games)
Name of Locality Date No of Children
From To
Note: List of names of Children with their age and Father’s name and a copy of appreciation letter from Parent /
Head of Institution to be produced with details.
14-B (7) Knowledge of Kanderstag Adventure centre of WOSM and prepared log book
Date of Submission of Log Book
Note: All relevant records, Log Books & Certificates should be produced in the testing camp as and when demanded.
Signature of Scout
Date………………………………………..
Certify that the above information is correct and verified by me.
Seal & Signature of Scout Master Seal & Signature of District Org. Commissioner (Scout)
Date: Date:
Note : 01. All relevant records, Progress Card, Log Books and certificates will be produced at the time of Testing
Camp.
02. Incomplete / Contradictory information is liable to be rejected.