BSP FORM No.
6-03
(Revised 22 Nov. 2024) NO/RO/LC/SI
BOY SCOUTS OF THE PHILIPPINES
181 Natividad Almeda-Lopez Street, Ermita, Manila 1000
APPLICATION FOR ADDITIONAL SCOUT REGISTRATION
ASR NO.
NOTE: 1. Scouts to be registered will have the same date of expiration as the other Scouts in the Mother Unit.
2. Registration status N – New RR – Reregistering
Date Applied
Sponsoring Institution Unit No. Local Council
Unit: Langkay Kawan Troop Outfit Circle Nature: School-based Community-based
Surname, Given Name, M.I Registration Age Sex Membership Card No. Highest Rank Number of years in
Status Earned Scouting
1.
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12.
Number of Scouts: Male Female
REGISTRATION FEES LOCAL COUNCIL OFFICE ACTION
Processed :
RATE AMOUNT Registration Officer Date
Total Number of Scouts: 50.00 Approved :
TOTAL Fees Remitted P Council Scout Executive Date
REGIONAL OFFICE ACTION
Paid Under OR. No. Date
Expiration Date Checked : __________________________ ____________
Registration Officer Date
The Boy Scouts of the Philippines adheres to the general rules and principles of RA 10173, also known as the Data Privacy Act of 2012. By filling-out and affixing your signature to this form, you consent to collecting
and using data such as your photo, video, and personal information. Rest assured that your information will be treated with the utmost respect and confidentiality.
(Sumusunod ang Boy Scouts of the Philippines sa mga pangkalahatang tuntunin at prinsipyo ng RA 10173, na kilala rin bilang Data Privacy Act of 2012. Sa pagsagot at pagpirma sa form na ito, pumapayag kang
makolekta at gumamit ang iyong data tulad ng iyong larawan, video, at personal na impormasyon. Makatitiyak na ang iyong impormasyon ay ituturing naming may lubos na paggalang at kumpidensyal.)
If you disagree with using your data, you may contact us at our email ([email protected]) or number ((632) 8572 8317 to 19).
(Kapag ikaw ay hindi-sang-ayon na gamitin ang iyong data, ipagbigay alam sa amin sa pamamagitan ng email sa [email protected] o tumawag sa numero ng telopno sa (632) 8572 8317 to 19).