Form No………………
केन्द्रीय विद्यालय संगठन स्टेट भारत स्काउट्स एवं
गाइड्स,जम्मु सम्भाग
KVS
STATE BHARAT SCOUTS AND GUIDES, JAMMU-DIVISION
APPLICATION
FOR TRITIYA SOPAN TEST-2013
Sr.No.
|
Description
|
Particular
|
Photograph in
Scout Uniform
Attested by
the Principal/
Unit Leader
|
|||
1
|
Name of the Division
|
JAMMU
|
||||
2
|
Name of the District
|
|||||
3
|
Name of the Vidyalaya
|
|||||
4
|
Name of the Group
|
|||||
5
|
Registration No. &
|
|||||
Charter No. of the group
|
||||||
6
|
Name of the Scout/Guide
|
|||||
7
|
Father’s name
|
|||||
8
|
Date of Birth
|
|||||
9
|
Date of joining the unit
|
|||||
10
|
Date of completion of
Pravesh
|
|||||
11
|
Date of Investiture
|
|||||
12
|
Date of completion of
Pratham Sopan
|
|||||
13
|
Date of completion of
Dwitiya Sopan
|
|||||
14
|
Certificate No. & Date of Dwitiya Sopan
|
No. &………/…..…/20…….
|
||||
15
|
Detail
of Tritiya Sopan Proficiency Badges
|
|||||
Name of the Prof. Badge
|
Dt. of passing
|
Name of Examiner ,Designation & Address
|
||||
Gr. -A
|
||||||
Gr. -B
|
||||||
(Please fill up the details carefully in
capital letters, over writing will not be accepted)
Date of COH Resolution Recommendation: ……..…../…..………/2013
Signature of
Father/Guardian
Signature
of Scout/Guide
Date:……./……../2013 Date: …….
/……../2013
Recommended the Scout/Guide
(Name)………………………………………….for Tritiya Sopan Testing Camp-2013.
Signature of
Scout Master/Guide Captain
Name of the Scout
Master/Guide Captain ………………………………………………………....Qualification in Scouting-
Basic/Advance/HWB/ALT/LT …………………………………………….….. (Certificate No.)……….……………………………..…
Warrant No…………………………………………………………………… (With
date of validity) Date…..…. /….…../20….…..
Recommended the Scout/Guide
(Name)………………………………………….for Tritiya Sopan Testing Camp-2013.
Signature…………………
Group
Leader (S/G) /Principal
Date:
………. /………/2013
