ADULT LEADERS Membership Highest Sct Tenure in Position Signature Age Religion PRINT: Surname, Givien Name, M.I. Cert. No. Training Scouting ISCOM: Inst'l Scouting Rep Parent Representative ISC Chair/Coor/Memb. Inst'l Sctng. Coordinator Unit Leader/Circle Adviser Asst. Unit Leader/ACA Asst. Unit Leader/ACA
ROSTER OF SCOUT MEMBERSHIP Registration Membership Highest Tenure in
Age Badge Earned Religion PRINT: Surname, Given Name, M.I. Status Cert. No. Scouting SPL/SCL/RL: ARL (Circle): ARL (Circle): AUDITOR (Circle): SCRIBE/SECRETARY: TREASURER: QUARTERMASTER: 1 NOTE: This FORM will be processed only if filled-out properly/completely.
NOTE: This FORM will be processed only if filled-out properly/completely.
2 3 4 5 6 7 8 1 2 3 4 5 6 7 8 1 2 3 4 5 6 7 8 1 2 3 4 5 6 7 8 Registration Status: N - New; RR - Reregistration REGISTRATION FEES LOCAL COUNCIL OFFICE ACTION RATE AMOUNT Processed: _____________________ ______________ _______ Inst'l Sctng. Reoresentative ₱ 100.00 ₱ __________ Registration Officer Date & Time _______ ISC Chair/Coordr/Memb 100.00 Approved: _____________________ ______________ _______ Unit Leaders/Asst. Uls/CA/ACA 60.00 Council Scout Executive Date _______ Scouts 50.00 __________ REGIONAL OFFICE ACTION _______ Institutional Charter Fee 10.00 Total Fees Remitted ₱ Processed: _____________________ ______________ Paid Under O.R. No. ____________________ Date _________________ Registration Officer Date & Time Expiration of Unit Registration Date _________________ Approved: _____________________ ______________ Regional Scout Executive Date Sponsoring Institution ______________________________________________ District _____________________ AUR No. _________________________ Council ______________________________ Unit No. ____________________ (Langkay/Kawan/Troop/Outfit/Circle) Date Applied: ______________