Kendriya Vidyalaya Sangathan State, Bharat Scouts & Guides
APPLICATION FOR THE DWITIYA SOPAN SCOUT / GUIDE TEST - 2024
TO BE FILLED BY THE CANDIDATE IN HIS/HER OWN HANDWRITING IN CAPITAL LETTERS. OVERWRITING / USE
OF FLUID WILL NOT BE ACCEPTED
01. NAME OF THE DIVISION -………………………………………. Photo in S/G in
02. NAME OF THE DISTRICT -………………………………………. Uniform attested
03. NAME OF THE VIDYALAYA -………………………………………. by the Principal
04. NAME OF THE SCOUT / GUIDE -……………………………………….
05. FATHER’S NAME -……………………………………….
06. MOTHER’S NAME -.............................................................
07. DATE OF BIRTH -……………………………………….
08. UID NO. - ………………………………………
09. DATE OF JOINING UNIT -……………………………………….
10. DATE OF PASSING PRAVESH -……………………………………….
11. DATE OF INVESTITURE -……………………………………….
12. DATE OF PASSING PRATHAM SOPAN -……………………………………….
13. HOME ADDRESS:
P.O. District
State Pin code
Telephone / Mob. No.
E-mail ID _________________________________________
14. Name and address of Unit: -
District
Charter No. ______________________________
Date of Issue ________________________ Date of Validity ____________________
Signature of Parents Signature of Scout / Guide
RECOMMENDED THE SCOUT / GUIDE (NAME) _____________________________________ FOR
THE DWITIYA SOPAN BADGE TEST - 2024.
(Page-2)
Details of the work done
Pratham Sopan
Troop/Company Service Project (as per APRO Part II/III)
a) _________________________________________________________________________________
b) Service activity (as per APRO Part II/III)
i) ___________________________________________________________________________
ii) ___________________________________________________________________________
Dwitiya Sopan
i) Detail of Proficiency Badge earned for Dwitiya Sopan as per Sl. No. 10 / (x) of APRO II / III
S. No. Name of the Badge Date of passing Examiner’s name & Designation
1
ii) Details of service activity done as per Sl. No. 8 / (viii) of APRO II / III
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Note: - All relevant records, Log - Books, Proficiency Books, DOB Certificate, Badge Examiner Certificates and
copy of Pratham Sopan, Certificates should be produced in the Testing Camp as and when demanded.
Date of COH Resolution / Recommendation…………………………… Signature of Scout / Guide …………
Certified that the information given above is correct as per the Vidyalaya / Unit records and verified
by me. The Name of the Scout/ Guide written in application form is also verified from School Register.
Name of the Scout Master / Guide Captain …………………………………. Signature: ………………
Qualification in Scouting / Guiding…………………………………………………………………………
Warrant No. ………………………………………………………… Valid up to…………………………
(Page-3)
Kendriya Vidyalaya Sangathan State Bharat Scouts & Guides
Delhi Division)
Date of Birth Certificate
(Over-writing / Cutting will not be accepted)
This is to certify that Master / Kumari ……………………………………………………………….
S/O/ D/O ……………………………………...is a student of Kendriya Vidyalaya…………………………… with
admission Number ___________, studying in class………………………in the year ………………………… and
his / her date of birth is (in figures) ……………………………… (in words)
………………………………………………………............. as per the Vidyalaya records.
Date: Office Seal Sig. of the Principal
COH
The COH of ………………………………. Scout Troop / Guide Company of KV
…………………………………………. met at (place) ……………………….………………………… at
(time)……………………….am/pm on (date) ……………………and resolved to recommend the Scout /
Guide………………………………………………for the Dwitiya Sopan Test - 2024.
Members Signature Sig. of the Chairman
1. (Name of the Chairman)
2. Date:
3.
4.
Signature of SM / GC Signature of the Principal / District Commissioner (S/G)