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GIRL SCOUTS OF THE PHILIPPINES

National Headquarters
Manila
CHIEF GIRLS SCOUT MEDAL SCHEME

CGSMS Form No.4

PHASE 3 IMPLEMENTATION REPORT - EO JUNE


(NOVEMBER)

Name : _______________
Troop No. _____________ Region: _____________
Council: _____________ Troop Leader: ________________

1. Work Done Dates Persons Involved

2.Meetings with:

Dates Of Meeting Results (attach minutes of Meeting)


Barangay Health Worker
Work Group
Troop Leader
Purok Leader
Monitoring Panel

Others(Parents)
3. Date of visits of the monitoring panel
3.1 3.2
4. Observations of the monitoring panel (attach copies of observations)

Submitted by:

___________________
Applicant

Noted by:

_________________
Troop Leader

JEZHA D. GUZON
OIC, Council Executive

AIDA C. SAROMINES
Regional Executive Director

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