BSP FORM No.

-01
BOY SCOUTS OF THE PHILIPPINES
(Revised 10 July 2012)
181 Natividad Almeda-Lopez Street, Ermita, 1000 Manila
APPLICATION FOR UNIT REGISTRATION (AUR)

Position ADULT LEADERS Signatur Ag Membership Highest Sct. Tenure in Religion

PRINT: Surname, Given e e Cert. No. Training Scouting
Name, M.I.
ISCOM

Inst'l Scouting Rep.

Parent Representative
ISC Chair/Coor/Memb.
Inst'l Sctng. Robin Eduard I. Castro 24
Coordinator
Unit Leader/Circle Ephraim Jeremiah D. Matias 24
Adviser
Asst. Unit Leader/ACA

ROSTER OF SCOUT MEMBERSHIP Registrati Age Membership Highest Tenure Religion

PRINT: Surname, Given Name, M.I. on Status Cert. No. Badge in
Earned .Scouting

SPL/SCL/RL: Queen Adelita Galang 15

ARL (Circle) Kyle Ashley Landayan 15
ARL (Circle) Isaac Newton Buan 15
AUDITOR (Circle) Choi Pangilinan 14
SCRIBE/SECRETARY Andrei Raul Pelayo 14
TREASURER Allan Chester Estacio 14
QUARTERMASTER Kyle Cedric Ripple 14
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Registration Status : N- New; RR - Reregistering

REGISTRATION FEES LOCAL COUNCIL OFFICE ACTION

RATE Processed: ________________ _________

AMOUNT Registration Officer Date & Time
_____ Inst'l Scouting Representative P 100.00 P ___________
_____ISC Chair/Coordr/Memb 100.00 _____________ Approved:
_____Unit Leader/Asst. UL's/CA/ACA 60.00 _____________ ________________ _________
_____Scouts 50.00 _____________ Council Scout Executive Date
_____Institutional Charter Fee 10.00
REGIONAL OFFICE ACTION
Total Fees Remitted P_________________ Processed: ________________ __________
Registration Officer Date & Time
Paid Under OR. No. ______________ Date_____________
Confirmed: _____________________ ___________
Expiration of Unit Registration Date____________________ Regional Scout Director Date

Sponsoring Institution_________________________________________ _____District ______________________AUR No. _________________

Council _________________________ Unit No. _____________ ( Langkay/Kawan/Troop/Outfit/Circle) Date Applied __________________
SCHOOL LIST OF SCOUTS FOR REGISTRATION AT THE LOCAL