(Application for TRITIYA SOPAN TESTING CAMP -2014)
(Fill
in duplicate)
|
01. Name of the
Division -……………………………………….
02. Name of the District -……………………………………….
03. Name of the Vidyalaya -……………………………………….
04. Name of the Group -……………………………………….
05. Registration No. of the Group -……………………………………….
06. Name of the Scout / Guide -……………………………………….
07. Father’s Name -……………………………………….
08. Mother’s Name -.....................................................
09. Date
of Birth -……………………………………….
10. Date of Joining the Unit -……………………………………….
11. Date of Passing Pravesh -……………………………………….
12. Date
of Investiture -……………………………………….
13.Date of Passing Pratham Sopan -……………………………………….
14.
Date of passing Dwitiya Sopan -……………………………………….
Date of C.O.H Resolution recommendation-
…………………………………………
Signature
of the Father/ Guardian Signature
of Scout / Guide
Dated: Dated:
Recommended the Scout / Guide (name)
-----------------------------------------------------------for TRITIYA SOPAN TEST -2014.
Signature of the Scout Master/ Guide
Captain
Name of the Scout Master/Guide
Captain--------------------------------------------------------
Warrant No. ------------------------------------------------------------Valid
upto-------------------
Recommended the Scout / Guide (name)
-----------------------------------------------------------
for TRITIYA SOPAN TEST -2014.
Dated:
District Commissioner (S/G)
(Page-2)
Kendriya Vidyalaya Sangathan State Bharat Scouts & Guides
TRITIYA
SOPAN TESTING CAMP -2014
(Information Sheet
to be filled in duplicate)
(Please fill up
the details carefully, over-writing will not be accepted)
01. Name of the Division -
02. Name of the District -
03. Name of the Vidyalaya -
04. Name of the Group -
05. Registration No. of the Group -
06. Name of the Scout / Guide -
07. Father’s Name -
08. Mother’s Name -
09. Date of Birth -
10. Date of Joining the Unit -
11. Date of passing Pravesh -
12. Date
of Investiture -
13. Date of
Passing Pratham Sopan -
14. Date of passing Dwitiya Sopan -
Details of the work done
Pratham Sopan
i)
Work done under
sl. no. 12 / 11 of APRO II / III
---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
ii)
Sl.No. 13 / 12 of
APRO II / III ( any two)
a) ------------------------------------------------------------------------------------------------------------
b) ------------------------------------------------------------------------------------------------------------Dwitiya
Sopan
i)
Proficiency Badge
as per Sl. No. 10 / 12 of APRO II / III
|
S.No.
|
Name
of the Badge
|
Date
of passing
|
Examiner’s
name, rank,designation & address
|
|
1
|
|
|
|
ii) Details of patrol sustained activity
done for a month as per Sl. No. 11 / 09 of APRO II / III
---------------------------------------------------------------------------------------------------------------------
--------------------------------------------------------------------------------------------------------------------
(Page-3)
ii)
Details of any two activities done as
per Sl. No. 12 / 13 of APRO II / III
a)
----------------------------------------------------------------------------------------------------------
b)
----------------------------------------------------------------------------------------------------------
Tritiya
Sopan
i) Swimming or Proficiency Badge as per
Sl. No. 02 of APRO II / III
|
S.No.
|
Name
of the Badge
|
Date
of passing
|
Examiner’s
name, rank,designation & address
|
|
1
|
|
|
|
iii)
Details of Hike
undertaken as per Sl. No. 08 of APRO II / III
|
Nature
of Hike
|
Place
|
Date
of Hike
|
Report
submitted on
|
|
|
|
From
|
To
|
|
|
|
|
|
|||
iii) Details of Proficiency Badges done under
Sl. No. 13 of APRO II / III
|
S.No.
|
Name
of the Badge
|
Date
of passing
|
Examiner’s
name, designation & address
|
|
Group-A
|
|
|
|
|
Group-B
|
|
|
|
iv)
Details of (any
one) activity done as per Sl. No. 14 of APRO II / III
---------------------------------------------------------------------------------------------------------------------
Date
of COH Resolution Recommendation………………………………………
Signature of the Scout Master / Guide
Captain Signature
of Scout / Guide
Name:
Dated:
Qualification in Scouting/Guiding……………………………..........
Warrant
No. ………………………………………………………...Valid upto……………….
(Page-4)
(Lucknow
Date
of Birth Certificate
(Over Writing / Cutting will not be accepted)
This
is to certify that Master / Kumari ……………………………………………. S/o –D/o
………………………………………………is the student of Kendriya Vidyalaya………………………………….studying in
class………………………in the year ……………and his / her date of birth is (in figures) ………………………………
(in words) ………………………………………………………............. as per vidyalaya record.
Date:
Office
Seal Sig.
of the Principal
COH
The
specimen of 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 Tritiya
Sopan Test-2014
.
Members Signature Sig.
of the Chairman
1. (Name
of the Chairman)
2. Date:
3.
4.
Signature
of SM / GC Signature of District Commissioner
(S/G)
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