Tritiya Sopan Scout / Guide - Bangalore South
Registration form for Tritiya Sopan Scout / Guide
Progressive Level Testing
Application Number
BSG-TS-BS-3602SCOUT
District Association Name *
Bangalore South District
Your Registered BSG UID *
BSG 311082154
Type only your valid BSG UID which you have registered with OYMS portal of the National Headquarters
www.bsgindia.org
Upload Your Passport Size Photo
in Scout/Guide Unifrom *
Sharath_Photo.jpeg
Aadhaar Number * 990076387805
Name of the Applicant * Sharath Reddy
Mr.
Title FULL NAME
Full Name in CAPITAL LETTERS; No Special Characters except DOT(.) and Space
Fathers Name * Malla Reddy
Mr.
Title FULL NAME
Mother's Name Jyothi
Mrs.
Title FULL NAME
Section * SCOUT
GUIDE
School / College / Institution Name
you are Studying now * Bangalore International Academy
Class / Degree you are studying
NOW * 7th class
Email * [email protected]
Tritiya Sopan Scout / Guide - Bangalore South
Phone * 9900993444
Residential Address *
2706 , Shree nivasa, 17th C cross , Banshankari 2nd stage
Street Address
17th C cross
Address Line 2
Bengaluru (Bangalore) Urban Karnataka
City State/Region/Province
560070 India
Postal / Zip Code Country
Type your Complete address with Door Number, Street Name, Apartment Name, Landmark etc to get
the proper communications which are sent through post/courier.
UNIT LEADERS DETAILS
Check the Correct and Complete details with your Unit Leader who will sign this application and fill this application.
Unit Name of your Scout / Guide
Group * Bangalore International Academy
Type your Unit name in English with CAPITAL LETTERS Only
Name of the Unit Leader (Scout DIVYA THANKAPPAN
Mrs.
Master / Guide Captain ) *
Title Full Name
Warrant Number of the Unit
Leader (Scout Master / Guide BS/1455/23-24
Captain) *
Date of Issue of the WARRANT * 05-Mar-2024
dd-MMM-yyyy
Date of WARRANT VALIDITY 31-Mar-2024
dd-MMM-yyyy
Scouting/ Guiding Qualification of
Basic
Unit Leader *
Training Certificate Number *
BSG/KA/SM/2023-24/669
Date of Training Certificate Issued 31-Oct-2023
*
dd-MMM-yyyy
Tritiya Sopan Scout / Guide - Bangalore South
Unit Address
244/C ,32nd Cross Road , 2nd main Rd,7th Block , Jayanagar , Bengaluru , Karnatak
a
Street Address
Address Line 2
Bengaluru (Bangalore) Urban Karnataka
City State/Region/Province
560082 India
Postal / Zip Code Country
Unit Renewal Details
Check with your Unit Leaders / School before registering for the Correct Details
Unit Charter Number *
BS/1462A/23-24
Date of Issue of Charter 05-Mar-2024
dd-MMM-yyyy
Unit Renewal Receipt *
2974
Date of Unit Renewal Paid Receipt 30-Oct-2023
Date *
dd-MMM-yyyy
Details of the Applicant
Please fill the correct dates as the records.
Date of Birth * 19-Jul-2012
dd-MMM-yyyy
Upload the Date of Birth
Certificate (in JPG, PNG, JPEG
format only)
Original_BC_of_Sharath.jpeg
Date of Joining the Unit * 20-Jul-2022
dd-MMM-yyyy
Tritiya Sopan Scout / Guide - Bangalore South
Date of Completing Pravesh * 24-Oct-2022
dd-MMM-yyyy
Date of Investiture * 26-Oct-2022
dd-MMM-yyyy
Investiture Ceremony Date should be after the Date of Completing the Pravesh
Date of Completing Pratham 03-May-2023
Sopan *
dd-MMM-yyyy
Date of Completing Dwitiya Sopan 10-Oct-2024
*
dd-MMM-yyyy
Details of Proficiency Badge you have earned
Dwitiya Sopan Level
Name of the Proficiency Badge 1
Cook
for Dwitiya Sopan *
Date of Passing the Proficiency 10-Feb-2024
Badge 1 for Dwitiya Sopan *
dd-MMM-yyyy
Name of the Examiner of
Proficiency Badge 1 for Dwitiya Ms.Vijayamma
Sopan *
Name of the Proficiency Badge 2
Cyclist
for Dwitiya Sopan *
Date of Passing the Proficiency 15-Jun-2024
Badge 2 for Dwitiya Sopan *
dd-MMM-yyyy
Name of the Examiner of
Proficiency Badge 2 for Dwitiya Abhishek Manjunath
Sopan *
Tritiya Sopan Level
Name of the Proficiency Badge 1
Hiker
for Tritiya Sopan *
Date of Passing the Proficiency 02-Feb-2025
Badge 1 for Tritiya Sopan *
dd-MMM-yyyy
Tritiya Sopan Scout / Guide - Bangalore South
Name of the Examiner of
Proficiency Badge 1 for Tritiya Mr.Umesh
Sopan *
Name of the Proficiency Badge 2
World Conservation
for Tritiya Sopan (GROUP A) *
Date of Passing the Proficiency 13-Feb-2025
Badge 2 for Tritiya Sopan (GROUP
A) * dd-MMM-yyyy
Name of the Examiner of
Proficiency Badge 2 for Tritiya Ms.Sarasa.K
Sopan (GROUP A) *
Name of the Proficiency Badge 3
Computer Awareness
for Tritiya Sopan (GROUP B) *
Date of Passing the Proficiency 08-Mar-2025
Badge 3 for Tritiya Sopan (GROUP
B) * dd-MMM-yyyy
Name of the Examiner of
Proficiency Badge 3 for Tritiya Ms.Latha
Sopan (GROUP B) *
Signature of the Applicant
