PAKISTAN BOY SCOUTS ASSOCIATION

NOMINATION FORM FOR INTERNATIONAL EVENT

(To be completed in Block Letters) Passport Size
Photographs
Event:
Duration: Province:
Personal Information:
Full Name: _ Blood Group
Date of Birth: Date of Joining in Scouting:
Age on Event’s Commencement Date: Years Months Days
Passport No: Issue Date: Expiry Date:
Place of Issue (City): CNIC No:
Academic Qualification: E-mail:
Scout Qualification: Unit Name:
Badges Earned:
Award(s) Achieved:
Participation in National / Community Service Programs (if any):

International Events Attended:

Residential Address:
Contact No:
Father’s Name: Father’s Place of Birth:
Father’s Occupation: Father’s Salary:
Mother’s Name: Mother’s Place of Birth:
Mother’s Date of Birth:

Signature of Rover / Scout:

Guardian’s Consent (in case of less than 18 years of age):

I hereby allow my Son / Ward to participate in the above stated international event.

Signature of Guardian:
Recommendation of Provincial Secretary:
It is certified that the above particulars are correct as per our record.

Signature of District Secretary Signature of Provincial Secretary

Date: Date:

Note: Duly completed profroma may be forwarded to NHQ, PBSA along with photocopies of Passport & CNIC / Form ‘B’.
 If individual is married please provide the relevant details of Spouse & children as per Passport / CNIC/Form “B”.