Scout-Group
Registration Form
KVS
STATE BHARAT SCOUTS AND GUIDES, NEW DELHI
18 संस्थागत क्षेत्र, शहीद जीत सिंह मार्ग, नई दिल्ली-16
18 Institutional
Areas, Shaheed Jeet Singh Marg, New Delhi – 16
1.
Division:
- JAMMU District: -WEST
2.
Charter
No. (Issued by Division):- KVS/JMR/Kath/50 Registration No.: - KVS/JMR/2012/S-2/17)
3.
Name
and address of the institution: -
KENDRIYA VIDYALAYA KATHUA Distt.- KATHUA, State: - J&K
4.
Name
of the head of the school: - SH. M. K. TEWARI
5.
Name
of the Group: - RANA
PRATAP
6.
Date
when the group was started: - 01-04-2003
7.
Colour
and Design of the Group Scarf: - SKY
BLUE TRIANGULAR (STANDARD SIZE)
8. Members of the group committee:-
|
Sr. No.
|
Rank
|
Name
|
Age
|
Designation
|
Address
|
|
1
|
President
|
SH. M. K. TEWARI
|
45
|
PPRINCIPAL
|
K.V. KATHUA
|
|
2
|
Vice- President
|
SMT. SUSHAMA
RANI
|
57
|
TGT (HINDI)
|
K.V. KATHUA
|
|
3
|
Secretary
|
SH. RAJINDER
BADKULIA
|
57
|
TGT (SANS)
|
K.V. KATHUA
|
|
4
|
Members
|
SH. GULSHAN
KUMAR
|
30
|
TGT (MATHS)
|
K.V. KATHUA
|
|
5
|
do
|
SH. NARESH
KUMAR
|
33
|
TGT (MATHS)
|
K.V. KATHUA
|
|
6
|
do
|
SH. NEERAJ CHOUHAN
|
32
|
TGT (SCIENCE)
|
K.V. KATHUA
|
|
7
|
do
|
SMT. SUBHASH
SHARMA
|
57
|
PRT
|
K.V. KATHUA
|
|
8
|
do
|
MS. VEERTA DEVI
|
TGT (LIB.)
|
K.V. KATHUA
|
9. Total number in the group:-
|
*a
|
Cub
Pack
|
Pravesh
|
Pratham
Charan
|
Dwitiya
Charan
|
Tritiya
Charan
|
Chaturth
Charan
|
Total
|
||
|
Ø
|
02
|
15
|
13
|
15
|
10
|
10
|
63
|
||
|
*b
|
Scout Troop
|
Pravesh
|
Partham Sopan
|
Dwitiya Sopan
|
Tritiya Sopan
|
Rajya Puraskar
|
Rashtrapati Scout
|
Total
|
Total No. of Proficiency Badges
|
|
|
02
|
12
|
13
|
12
|
12
|
15
|
-
|
64
|
123
|
|
*c
|
Scouters
|
Untrained
|
Preliminary trained
|
Advanced
trained
|
HWB
|
Pre-ALT
|
ALT
|
LT
|
|
|
|
04
|
-
|
02
|
01
|
-
|
-
|
01
|
-
|
|
* (In Column a, b & c mention total
number.)
10.
If
a special group, keep what is necessary, strike out the other.
Air: - ………x…………….. Sea: -…………x………….. Handicapped: - …………x………….
11. S.H.Q. Annual Group registration fee Rs.250/-.Total
Individual Registration is fee Rs. 710/-. Total Amount is RS.
960/-. This Amount is sent by Ch. No. 948135 Date: - 07-07-2015 for Rs. 960/-.
12. We
agree with the aims, rules and methods of the Bharat Scouts & Guides. All
the leaders in the Group will adhere to the
rules and discipline of the Association. The names of the leader and Boys
are given in the list attached herewith. Please
register / re-register the Group.
Signature ……………………
Signature…………………
(Group
leader)
(Principal)
Date: -
07/07/2015
Date: - 07/07/2015
13) Recommendation of the
District Commissioner ……………………..………………………………………………….
The information given in
the application is correct. Please register/re-register the group.
Signature
……………………
Signature…………………
(District
Secretary) (District
Commissioner) (Scouts)
Date:-………………..……..
Date:-……………………
FOR
THE STAFF HEADQUARTER
The form and Fee Rs. ……………………………………………………………received
on.…………………..…………………….
More information is called for vide
letter No. …………………………………………………………………………Dated ………………………………………
The Group is registered/ re-registered
reg. No.……………………………… ……………………………………Dated ……………..………………………… Registration Card
No. …………...................................................Copy sent to
Local/District Association on…………………..…………………
Receipt
for the fees sent. Receipt No. ………………………………………………….… Date ……………….…………..…………for
Rs……………………….
Signature
………………………………………
State Secretary/Jt. State Secretary
Date:-………………………..…………………
PLEASE
GIVE THE NAMES OF MEMBERS FOR RE-REGISTRATION / REGISTRATION SEPARATELY IN THE
FOLLOWING PROFORMA:-
(The total should not be less
than 12 and more than 24 in the Cub Pack and not more than 32 in the Scout
Troop)
|
Cub
Pack
|
Scout
Troop
|
||||||
|
S. No.
|
First Name and Surname
|
Date of Birth
|
Rank
|
S. No.
|
First Name and Surname
|
Date of Birth
|
Rank
|
|
|
List
Attached
|
|
|
|
List
Attached
|
|
|
Sig.________________ Sig. ____________ Sig.______________
(Cub Master) (Group Leader) (Scout Master)
Date:-……………….. Date:-…………… Date:-…………… SCOUT TROOP No.01
|
S. No.
|
Name of the Scout
|
Class
|
D.O.B.
|
Rank
|
Fee
|
|
1
|
HARSH ADITYA SINGH JASROTIA
|
X-B
|
01/01/2001
|
PL
|
6/-
|
|
2
|
SAHIL SHARMA
|
X-A
|
08/03/2000
|
2nd
|
6/-
|
|
3
|
JASDEEP SINGH
|
IX-A
|
20/08/2001
|
Scout
|
6/-
|
|
4
|
NISHANT KARLUPIA
|
VIII
|
25/05/2002
|
Do
|
6/-
|
|
5
|
PRADIKSHAN SUMBRIA
|
VIII
|
06/10/2002
|
Do
|
6/-
|
|
6
|
NEERAJ
|
VII
|
15/07/2003
|
Do
|
6/-
|
|
7
|
JATIN RATTANIA
|
VII
|
08/10/2003
|
Do
|
6/-
|
|
8
|
AKHIL SINGH
|
VI
|
08-03-2004
|
Do
|
6/-
|
|
|
|
|
|
|
|
|
9
|
JASBIR SINGH
|
X-A
|
15/12/2002
|
PL
|
6/-
|
|
10
|
ROHIT
|
X-A
|
14/02/2001
|
2nd
|
6/-
|
|
11
|
MANTHAN
|
IX-A
|
18/04/2002
|
Do
|
6/-
|
|
12
|
PRATHAM KAPOOR
|
VIII
|
05/02/2003
|
6/-
|
|
|
13
|
MOHIT
|
VIII
|
16/09/2001
|
Do
|
6/-
|
|
14
|
PARAS ANDOTRA
|
VII
|
14/05/2003
|
Do
|
6/-
|
|
15
|
AKSHAT
|
VII
|
08/06/2003
|
Do
|
6/-
|
|
16
|
YUVRAJ SINGH
|
VI
|
14/10/2004
|
Do
|
6/-
|
|
|
|
|
|
|
|
|
17
|
ANURUDH SINGH
|
X-A
|
16/11/2000
|
PL
|
6/-
|
|
18
|
AKHIL SHARMA
|
X-B
|
16/10/2000
|
2nd
|
6/-
|
|
19
|
Md. IRFAN KHAN
|
IX-A
|
26/09/2000
|
Scout
|
6/-
|
|
20
|
ARYAN
|
VIII
|
22/10/2001
|
Do
|
6/-
|
|
21
|
NITISH KUMAR
|
VIII
|
21/07/2002
|
Do
|
6/-
|
|
22
|
DEEPAK
|
VII
|
20/06/2003
|
Do
|
6/-
|
|
23
|
PRANSHU
|
VII
|
16/02/2003
|
Do
|
6/-
|
|
24
|
ABHINAV KUMAR
|
VI
|
09-12-2003
|
Do
|
6/-
|
|
|
|
|
|
|
|
|
25
|
PRAG DEV SINGH
|
X- A
|
28/09/2000
|
PL
|
6/-
|
|
26
|
ROHAN PADHA
|
X-B
|
08/06/2000
|
2nd
|
6/-
|
|
27
|
ANIKET SHARMA
|
IX-A
|
16/10/2002
|
Scout
|
6/-
|
|
28
|
ATAL VIJAY
|
VIII
|
20/04/2002
|
Do
|
6/-
|
|
29
|
ABHISHEK
|
VIII
|
22/02/2003
|
Do
|
6/-
|
|
30
|
NISHKARSH
|
VII
|
06/08/2003
|
Do
|
6/-
|
|
31
|
UDHAYWAN
|
VI
|
16/02/2004
|
Do
|
6/-
|
|
32
|
SOURAV NOGOTRU
|
VI
|
06-02-2004
|
Do
|
6/-
|
|
S. No.
|
Name of
the Scout
|
Class
|
D.O.B.
|
Rank
|
Fee
|
|
1
|
AVINAV BADYAL
|
X-B
|
07/09/2000
|
PL
|
6/-
|
|
2
|
SHAMMI
|
X-A
|
08/02/2001
|
2nd
|
6/-
|
|
3
|
NAVI ANDOTRA
|
IX-A
|
27/01/2000
|
Scout
|
6/-
|
|
4
|
DIVYANK KHAJURIA
|
VIII
|
16/02/2003
|
Do
|
6/-
|
|
5
|
HITESH
|
VIII
|
16/05/2003
|
Do
|
6/-
|
|
6
|
VANSH MAHAJAN
|
VII
|
08/01/2003
|
Do
|
6/-
|
|
7
|
SAMBHAV
|
VI V
|
20/08/2004
|
Do
|
6/-
|
|
8
|
HARSH
JAMWAL
|
VI
|
12/08/2004
|
Do
|
6/-
|
|
|
|
|
|
|
|
|
9
|
SUNANDIT
|
X-A
|
24/02/2001
|
PL
|
6/-
|
|
10
|
AMAN INDER SINGH
|
X-A
|
03/11/1999
|
2nd
|
6/-
|
|
11
|
JATIN
|
IX-A
|
20/04/2002
|
Scout
|
6/-
|
|
12
|
AYUSH SEHGAL
|
VIII
|
23/06/2002
|
Do
|
6/-
|
|
13
|
JATIN
|
VII
|
08/09/2003
|
Do
|
6/-
|
|
14
|
VANSH SHARMA
|
VII
|
08/01/2003
|
Do
|
6/-
|
|
15
|
HARSH
|
VI
|
19/09/2004
|
Do
|
6/-
|
|
16
|
ANSHVEER SINGH
|
VI
|
17/06/2004
|
Do
|
6/-
|
|
|
|
|
|
|
|
|
17
|
AMIT SINGH SALARIA
|
X-B
|
03/04/2000
|
PL
|
6/-
|
|
18
|
MANAV GUPTA
|
X-A
|
28/05/2001
|
2nd
|
6/-
|
|
19
|
DIWAKAR
|
IX-A
|
23/06/2001
|
Scout
|
6/-
|
|
20
|
SAKSHAM SHARMA
|
VIII
|
02/01/2003
|
Do
|
6/-
|
|
21
|
ADITYA
|
VII
|
05/06/2003
|
Do
|
6/-
|
|
22
|
TANNU LOONA
|
VII
|
14/01/2004
|
Do
|
6/-
|
|
23
|
SOURAV KUNDRAL
|
VI
|
02/05/2004
|
Do
|
6/-
|
|
24
|
JEEVAN
|
VI
|
10/09/2004
|
Do
|
6/-
|
|
|
|
|
|
|
|
|
25
|
TARUN
|
X-A
|
13/06/2001
|
PL
|
6/-
|
|
26
|
KARUN KUMAR
|
X-A
|
12/12/2000
|
2nd
|
6/-
|
|
27
|
CHETAN GUPTA
|
IX-A
|
26/06/2000
|
Scout
|
6/-
|
|
28
|
NEERAJ
|
IX-A
|
02/01/2002
|
Do
|
6/-
|
|
29
|
SHASHWAT BHARDWAJ
|
VIII
|
09/12/2002
|
Do
|
6/-
|
|
30
|
BHAVISHYA
|
VII
|
20/08/2002
|
Do
|
6/-
|
|
31
|
VARUN SHARMA
|
VII
|
14/07/2003
|
Do
|
6/-
|
|
32
|
SANDEEP SHALIYA
|
VI
|
11/07/2004
|
Do
|
6/-
|
CUB PACK No.01
|
Sr. No.
|
Name of the Cubs
|
Class
|
D.O.B.
|
Rank
|
Fee
|
|
1
|
DINKAR
SHARMA
|
V
|
06-11-2004
|
Sixer
|
2/-
|
|
2
|
ABHINAV SHARMA
|
V
|
13-06-2005
|
Second
|
2/-
|
|
3
|
AMRIT PAUL KAROTRA
|
IV
|
02-12-2006
|
Cub
|
2/-
|
|
4
|
SHRIMAN UPADHAYA
|
IV
|
29-03-2006
|
Do
|
2/-
|
|
5
|
JATIN SHARMA
|
III
|
29-03-2008
|
Do
|
2/-
|
|
6
|
SHIVAM BADYAL
|
II
|
23-06-2008
|
Do
|
2/-
|
|
|
|
|
|
|
|
|
7
|
YUVRAJ SINGH
|
V
|
05-01-2005
|
Sixer
|
2/-
|
|
8
|
MOHIT SHARMA
|
V
|
11-05-2005
|
Second
|
2/-
|
|
9
|
MEHUL GUPTA
|
IV
|
20-12-2006
|
Cub
|
2/-
|
|
10
|
SIDHARTH SHARMA
|
IV
|
03-01-2007
|
Do
|
2/-
|
|
11
|
SUKHPREET SINGH
|
III
|
02-07-2007
|
Do
|
2/-
|
|
12
|
VIVEK
|
II
|
24-02-2008
|
Do
|
2/-
|
|
|
|
|
|
|
|
|
13
|
KRISHAN KANT
|
V
|
09-07-2005
|
Sixer
|
2/-
|
|
14
|
NIKHIL
|
V
|
05-05-2005
|
Second
|
2/-
|
|
15
|
UDHAY BHAGAT
|
IV
|
09-02-2006
|
Cub
|
2/-
|
|
16
|
ABI NANDAN
|
III
|
16-01-2007
|
Do
|
2/-
|
|
17
|
SAKSHAM SHARMA
|
III
|
14-03-2008
|
Do
|
2/-
|
|
18
|
KRISHANAV
|
II
|
03-03-2009
|
Do
|
2/-
|
|
|
|
|
|
|
|
|
19
|
NITISH SHARMA
|
V
|
16-03-2006
|
Sixer
|
2/-
|
|
20
|
VARUN
|
V
|
05-07-2005
|
Second
|
2/-
|
|
21
|
VARUN SARMAL
|
IV
|
18-03-2007
|
Cub
|
2/-
|
|
22
|
SHARANGH VASHISHT
|
III
|
09-03-2008
|
Do
|
2/-
|
|
23
|
NAVDEEP LAKHOTRA
|
III
|
13-06-2007
|
Do
|
2/-
|
|
24
|
SUDHEKSHAN
|
II
|
03-03-2009
|
Do
|
2/-
|
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