BHARAT SCOUTS AND GUIDES, KARNATAKA
BANGALORE NORTH DISTRICT
APPLICATION FOR NIPUN ROVER / RANGERS TEST
PP Size Photo
in Uniform
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01. NAME IN BLOCK LETTERS :
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02. PHONE NO . E-Mail ID :
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03. FATHERS NAME :
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04. MOTHERS NAME :
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05. DATE OF BIRTH :
04. MOTHERS NAME :
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05. DATE OF BIRTH :
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06. DATE OF JOINING THE CREW / TEAM : .......................................................................................................................................................
07. PRAVESH COMPLETION ON :
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08.. DATE OF INVESTITURE :
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09. PROFICIENCY BADGE UNDER NIPUN :
06. DATE OF JOINING THE CREW / TEAM : .......................................................................................................................................................
07. PRAVESH COMPLETION ON :
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08.. DATE OF INVESTITURE :
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09. PROFICIENCY BADGE UNDER NIPUN :
NAME OF THE BADGE DATE EXAMINER
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Signature of the Rover / Ranger Signature of
Rover Scout Leader / Ranger Leader
NAME:
Signature of the Principal
With
Seal
Note: Log Books must be submitted at the Testing Camp