Grade 5 Boy Scout

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BSP FORM No.

6-01
(Revised 30 Jan 2020)
BOY SCOUTS OF THE PHILIPPINES
181 Natividad Almeda-Lopez Street, Ermita, Manila 1000

APPLICATION FOR UNIT REGISTRATION


(AUR)
Position ADULT LEADERS Signature Age Membership Highest Tenure in Religion
PRINT: Surname, Given Name, M.I. Card No. Rank Scouting
Earned
ISCOM:
-inst’l. Scouting Rep. TOQUERO, JOAN G. 47 RC

-Parent Representative
-ISC Chair/Coor./Member MORALES, VIRGIE P. 49 RC

-Inst’l Scting. Coordinator BENEMERITO, JARMILLA A. RC

Unit Leader/Circle Adviser OANDASAN, HENRY JEFFERSON RC

Asst. Unit Leader/ACA VILOG, JAYSON S. 33 RC

Asst. Unit Leader/ACA MADERAZO, JAN KIER D. 22 RC

Religion
ROSTER OF SCOUT MEMBERSHIP Registration Age Membership Highest Tenure in
Status Card No. Rank Scouting
Surname, Given Name, M.I. Earned
SPL/SCL/RL:
Assistant SPL/SCL/RL:
SCRIBE:
TREASURER:
AUDITOR (For Rover Circles Only):
QUARTERMASTER:
1. Perono, Dominic Rei A. N 11 RC
2. Tejada, Wilmhar N 11 RC
3. Asuncion, Austin Keith N 11 RC
4. Dela Rosa, Alden N. N 10 RC
5. Alvendo, Anthony B. N 11 RC
6. Tadeo, Jarenz E. N 11 RC
7. Blanza, Julien G. N 10 RC
8. Piamonte, Mark Joseph H. N 11 RC

1. Andres, Jonathan N 11 RC
2. Bragais, John Ralph N 10 BA
3. Raon, John Dave C. N 10 RC
4. Galima, Elmer S. N 11 RC
5. Haban, Justine F. N 10 RC
6. Hermosura, Kierulf F. N 10 INC
7. Gabuat, John Jayden A. N 10 RC
8. Habon, Justine O. N 10 RC

1. Halabas, Karl Rwaine A. N 11 RC


2. Novida, Cherwin A. N 11 RC
3. Dalion, Emmanuel H. N 11 BA
4. Fabro, Vince Mark P. N 11 RC
5. Fabro, Justine L. N 10 RC
6. Habab, Fhil Elzevir M. N 11 RC
7. Javier, Harry Ezekiel S. N 11 RC
8. MANGAY-AYAM, RHYAN JACOB Y. N 10 RC
9. MARQUEZ, ARTH DOMINIC C. N 10 RC
10. REDUMA, RENANTE JR. S N 10 RC
11. VIERNES, ENRICO V. N 10 RC

Num ber of Scouts: Male Female Number of Adults: Male Female


7.

REGISTRATION FEES LOCAL COUNCIL OFFICE ACTION


RATE AMOUNT Processed :
Registration Officer Date
Total Number of Scouts: 50.00
Approved :
TOTAL Fees Remitted P
Council Scout Executive Date

REGIONAL OFFICE ACTION


Paid Under OR. No. Date
Expiration Date Checked :
Registration Officer Date
REGISTRATION FEES LOCAL COUNCIL OFFICE ACTION
RATE AMOUNT Processed :
Registration Officer Date
Total Number of Scouts: 50.00
Approved :
TOTAL Fees Remitted P
Council Scout Executive Date

REGIONAL OFFICE ACTION


Paid Under OR. No. Date
Expiration Date Checked :
Registration Officer Date

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