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PIA BOY SCOUTS ASSOCIATION Recommendation for President Rover Scout Badge District__________________ 1. Particulars: Name_________________________ Father’s Name ___________________ Educational Qualification________________ Scout Qualification___________________ Age: (Date of Birth) ____________________ Date of Joining ____________________ Address: _______________________________________________ Cell No_____________________ 2. Rank Badges Qualification (i) Hamdam Badge Camp Date __________________ Passed on_____________________ (ii) Istaqlal Badge Camp Date____________________ Passed on_____________________ 3. Proficiency Badges (i) ________________________________ Certificate ON. & Date _________________________ (During Hamdam Badge) (ii) _______________________________ Certificate ON. & Date __________________________ (During Istaqlal Badge) (iii) _______________________________ Certificate ON. & Date __________________________ (During Istaqlal Badge) (iv)______________________________ Certificate ON. & Date __________________________ (Compulsory) Paste Color Photograph in Scout Uniform 2” x1.5”

Registration form prs

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Page 1: Registration form prs

PIA BOY SCOUTS ASSOCIATION Recommendation for President Rover Scout Badge

District__________________1. Particulars:

Name_________________________ Father’s Name ___________________ Educational Qualification________________ Scout Qualification___________________ Age: (Date of Birth) ____________________ Date of Joining ____________________Address: _______________________________________________ Cell No_____________________

2. Rank Badges Qualification (i) Hamdam Badge Camp Date __________________ Passed on_____________________ (ii) Istaqlal Badge Camp Date____________________ Passed on_____________________ 3. Proficiency Badges (i) ________________________________ Certificate ON. & Date _________________________ (During Hamdam Badge)(ii) _______________________________ Certificate ON. & Date __________________________ (During Istaqlal Badge) (iii) _______________________________ Certificate ON. & Date __________________________ (During Istaqlal Badge) (iv)______________________________ Certificate ON. & Date __________________________ (Compulsory) (v) _______________________________ Certificate ON. & Date __________________________ (Compulsory) (vi) ______________________________ Certificate ON. & Date __________________________ (Compulsory)(vii) ______________________________ Certificate ON. & Date___________________________ (Compulsory)

4. Camping (detail of 20 nights camping as a Rover) Attached

He is recommended for issuance of President Rover Scout Badge Certificate. Date of birth proof, copies of Rank Badges & Certificate of camping details are attached and forwarded to Secretary Training & Programme, PIABSA, for further necessary action.

District leader District Secretary

Dated: _____________ ADC ( Training & Programme

All documents checked and found OK / Not satisfactory. Secretary Training &Programme

Recommended / Not Recommended for PRS

Paste Color Photograph in Scout Uniform 2” x1.5”

Page 2: Registration form prs

APC Training & Programme