BOY SCOUTS OF THE PHILIPPINES

Reset Form 181 Natividad Almeda-Lopez Street, Ermita, Manila

MERIT BADGE APPLICATION

Date _______________________

I, _____________________________________________________________ hereby certify that I have been a holder of

(Scout’s name in block letter)
the __________________________________ since _____________________________________ that I am a member of
(Badge) (Date Badge Earned)
__________________________, _________________________________________, ______________________ Council
(Troop/Outfit Number) (Sponsoring Institution) (Local Council)
and that I am qualified to work on the requirements of the ____________________________________ Merit Badge.
(Merit Badge)

_________________________________
(Signature of Applicant)
APPROVED: __________________________________
(Signature of Troop Leader/Outfit Advisor)
(Attention Scout: Arrange with your Troop Leader/Outfit Advisor for an appointment with a Merit Badge Counselor.)
MERIT BADGE COUNSELOR’S CERTIFICATION
THIS IS TO CERTIFY that the above-named Scout personally appeared before the undersigned and that after a careful
examination of said Scout on the subject, has satisfactorily passed the test for _____________________________________________.
(Merit Badge Subject)
_____________________ _____________________________________________________
Date Merit Badge Counselor
Note: Do not examine Scout unless application is approved by the Troop Leader/Outfit Advisor. Only certified Advancement
Counselor areCourtesy
authorized to signof
thisthe Merit Badge Center, Philippines
certificate.
http://www.meritbadge.org.ph/