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2. द्वितीय सोपान फॉर्म - 2024

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0% found this document useful (0 votes)
491 views3 pages

2. द्वितीय सोपान फॉर्म - 2024

Uploaded by

mesamriddh
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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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)

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