BSP Form No. 10 (Rev.

04-05-12) (to be accomplished in Quadruplicate)

BOY SCOUTS OF THE PHILIPPINES

Negros Oriental – Siquijor Council

APPLICATION FOR EAGLE SCOUT RANK

(To be submitted to the Regional Office)

Date
THE NATIONAL COURT OF HONOR
Boy Scouts of the Philippines
Manila

Dear Sir/Madam:

I would like to formally express my sincerest intent to apply for the Eagle Scout Rank, the highest rank in Senior Scout Advancement,
please do accept my application and consider myself as an Eagle Scout Candidate.

In addition to satisfying the necessary requirements for the Explorer, Pathfinder, Outdoorsman, and Venturer Scout Ranks, I am now
qualified and prepared to appear before the National Board of Review for Eagle Scout, after the successful completion of the minimum number of
Merit Badges required and specified for the Eagle Scout Rank.

I state On My Honor that I have, as a true Scout; lived up to the ideals of the Scout Oath and Law and promoted the Scout Spirit among my
fellow Scouts. I also have conscientiously did my best to develop my leadership ability while helping other young people to become better Scouts

I respectfully submit my registration and advancement records for your consideration, as follows:

Applicant’s Signature Date of Birth: JANUARY 17, 2001 Age: 20 years old
Membership ID Card No.: 13815580
Date of Registration: SEPTEMBER 7, 2020
KENT NIÑO S. CARMELOTES Valid Until: SEPTEMBER 7, 2021
Full Name in Print

Registered as a Senior Scout of Outfit No. 017-88 , Sponsored by the ST. PAUL UNIVERSITY
DUMAGUETE Position in the Outfit: SENIOR CREW LEADER (SCL)
No. of years as a KAB Scout 4 YEARS as a Boy Scout 2 YEARS as a Senior Scout 7 YEARS
Became an Outdoorsman Scout Rank holder on JANUARY 28, 2019 Became a Venturer Scout Rank holder on NOVEMBER 23, 2019
(Date Certificate Issued) (Date Certificate Issued)

Merit Badge Earned. (Corresponding approved applications for these Merit Badges are attached)

MERIT BADGE SPECIFIC MERIT BADGE NAME OF MERIT BADGE DATE APPLIED DATE PASSED
GROUP SUBJECT COUNSELORS (mm-dd-yr) (mm-dd-yr)
PUBLIC SERVICE 1. Safety Cridem N. Gaga-a January 7, 2018 January 28, 2018
CITIZENSHIP 2. Citizenship in the Home Mario T. Cual Jr. February 5, 2018 February 25,2018
CITIZENSHIP 3. Citizenship in the Community Mario T. Cual Jr. April 8, 2018 April 29, 2018
PUBLIC SERVICE 4. First Aid Darryl B. Tumaca, WBH July 15, 2018 July 30, 2018
CITIZENSHIP 5. Filipino Heritage Bernabe V. Arcaya, WBH May 6, 2018 May 27, 2018
NATURE 6. Ecology or Tree Parenting Napoleon C. Sanoy, WBH June 10, 2018 June 24, 2018
CITIZENSHIP 7. Citizenship in the Nation Mario T. Cual, Jr. September 9, 2018 September 30, 2018
SPORTS 8. Physical Fitness Rhomnick E. Sanchez October 7, 2018 October 29, 2018
SPORTS 9. Swimming Ian D. Antecristo November 4, 2018 November 25, 2018
NATURE 10. Soil and Water Conservation Napoleon C. Sanoy, WBH January 6, 2019 January 27, 2019
NATURE 11. Weather Darryl B. Tumaca, WBH December 2, 2018 December 23, 2018
PUBLIC SERVICE 12. Emergency Preparedness Ian D. Antecristo April 7, 2019 April 28, 2019
CAMPCRAFT 13. Camping Bernabe V. Arcaya, WBH March 3, 2019 March 24, 2019
Specialist Rating: 3 14. Radio Darryl B. Tumaca, WBH May 5, 2019 May 26, 2019
related Merit 15.Personal Health Rhomnick E. Sanchez July 7, 2019 July 28, 2019
Badges subject 16. Signaling Cridem N. Gaga-a August 7, 2019 August 25, 2019
PUBLIC SERVICE 17. Life Saving Ian D. Antecristo October 6, 2019 October 27, 2019
CITIZENSHIP 18. World Brotherhood Sixto Ricky J. Ausan, WBH November 3, 2019 November 23, 2019
Specialist Rating: 3 19. Public Speaking Sixto Ricky J. Ausan, WBH December 1, 2019 December 15, 2019
related Merit 20. Hobbies and Collection Napoleon C. Sanoy, WBH January 5, 2020 January 26, 2020
Badges subject 21. Scholarship Cridem N. Gaga-a February 2, 2020 February 23, 2020
NATURE 22. GO Green Merit Badge Bernabe V. Arcaya, WBH April 6, 2020 April 27, 2020
NATURE 23. GROW Green Merit Badge Sixto Rily J. Ausan, WBH January 19, 2020 May 18, 2020