KVS STATE BHARAT SCOUTS AND GUIDES, CHENNAI DIVISION

DISTRICT I/II/III/IV

APPLICATION FOR TRITIYA SOPAN TESTING CAMP, 2011

(Please fill up the details carefully, over-writing will not be accepted)

1. Name of the Division : Chennai Division

2. Name of the District : District I/II/III/IV Photo in S/G

3. Name of the Vidyalaya : Kendriya Vidyalaya, …………………………………
uniform
4. Name of the Group : …………………………………………………………………
attested by
5. Registration No./Charter No. of the Group: …………………………………………………………………
Principal
6. Name of the Scout/Guide : …………………………………………………………………

7. Father’s Name : …………………………………………………………………

8. Date of Birth : …………………………………………………………………

9. Date of joining the Unit : …………………………………………………………………

10. Date of passing Pravesh : …………………………………………………………………

11. Date of investiture : …………………………………………………………………

12. Date of passing Pratham Sopan : …………………………………………………………………

13. Date of passing Dwitiya Sopan : …………………………………………………………………

14. Details of Tritiya Sopan Proficiency Badges

DATE OF EXAMINER’S NAME, DESIGNATION &

SL.NO NAME OF THE PROFICIENY BADGE
PASSING ADDRESS
01 GENERAL :
(INSTEAD OF SWIMMING)
02 GROUP A:
03 GROUP B:
Date of COH Recommendation :

Signature of Father/Guardian Signature of Scout/Guide

Date : Date :

Recommended the Scout/Guide (Name)……………………………………………………………………… for the Tritiya Sopan

Testing Camp, 2011

Signature of the Scoutmaster/Guide Captain : …………………………………………………………………

Name of the Scoutmaster/Guidecaptain :…………………………………………………………………

Warrant No…………………………………………………… Certificate No.with date : …………………………………………………………..

Recommended the Scout/Guide (Name) …………………………………………………………..…….. for the Tritiya Sopan

Testing camp, 2011

Distt.Commissioner(S/G)

Date: