THE BHARAT SCOUTS AND GUIDES KARNATAKA
TRITIYA SOPAN SCOUTS / GUIDES REGISTRATION FORM
 Application Number : BSG-TS-BS-3627SCOUT
  BSG UID      : BSG145810381
  District     : Bangalore South District
NAME              : SOHAM P JAIN
FATHERS' NAME : PRAVEEN KUMAR H S
Mothers Name      : SHILPA
Section           : SCOUT
Aadhaar Number : 537811172474
 Residential Address                                 Unit Address
 Flat No.Gf01, Rajalakshmi Residency, #33/1, 3rd     Unit Name : BANGALORE INTERNATIONAL
 Main                                                ACADEMY
 Cauvery Nagar, Kathriguppe Main Road,               244/C, 32nd Cross Road, 2nd Main Rd
 Banashankari 3rd Stage,                             7th Block, Jayanagar
 City: BANGALORE                                     City : BANGALORE
 State: KARNATAKA                                    State : KARNATAKA
 Pin code : 560085                                   Pin code: 560082
 Date of Birth : 18-Feb-2011                Date of Joining :02-Aug-2022
 Date of Completion Pravesh :               Date of Investiture :
 17-Mar-2023                                22-Mar-2023
 Date of Completing Pratham Sopan :17-Dec-2023
 Date of Completing Dwitiya Sopan : 20-Oct-2024
Details of the Proficiency Badges earned under Dwitiya Sopan
      Name of the Badge           Date of Earning the Badge            Name of the Examiner
               Cook                            15-Aug-2024                     SUMA V
              Cyclist                          22-Feb-2025                  Motiram Rathod
Details of the Proficiency Badges earned under Tritiya Sopan
      Name of the Badge                 Date of Earning the Badge      Name of the Examiner
               Hiker                           22-Feb-2025                    Mr.Umesh
        Group A : Ecologist                    22-Feb-2025                  MS MARTHA
  Group B : Computer Awareness                 22-Feb-2025                   MS LATHA
Details of the Unit Leaders:
 Unit Name                    BANGALORE INTERNATIONAL ACADEMY
 Unit Leader Name             DIVYA THANKAPPAN                      Date of Issue of the WARRANT
 Warrant Number               BS/1455/23-24                         05-Mar-2024
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                              THE BHARAT SCOUTS AND GUIDES KARNATAKA
                              TRITIYA SOPAN SCOUTS / GUIDES REGISTRATION FORM
 Qualification of Unit                  Basic
 Leader
Details of the Unit Renewal:
 Unit Charter Number BS/1464A/23-24                                              Date of Issue of                        05-Mar-2024
                                                                                 Charter
 Unit Receipt No:                        2974                                    Renewal Date :                          30-Oct-2023
Signature of the Applicant
Signature of Scouter / Guider                                                                         Signature of L A Secretary
Submitted Date and Time : 19-Mar-2025 20:33:31
----------------------------------------------------------- DISTRICT USE ONLY --------------------------------------------------------------------------
         Signature of                                                                                         Signature of
District Organiser / SGV / DOC                                                                               District Secretary
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