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BSP Form No. 17 (Rev.

07-24-12
BOY SCOUTS OF THE PHILIPPINES
National Office
Manila

MERIT BADGE APPLICATION

Date FEBRUARY 27,2018 _


(Date of Merit Badge Application is applied for)

I, SALUCOT,MARIO B. JR. hereby certify that I have been a holder of


(Scout’s complete name in black letters)
The EXPLORER since DECEMBER 18,2017 that I am a member of
(Present Scout Rank/Badge) (Date passed the Board of Review)

0-1 , , TAGUM NATIONAL TRADE SCHOOL Council


(Troop / Outfit No.) (Sponsoring Institution)
And that I am qualified to work on the requirements for the FILIPINO HERITAGE Merit Badge

SALUCOT,MARIO B. JR. _
(Signature over Printed Name)
APPROVED:
_SCTR.ROCKMAN R. MAMA,2BH ________
(Signature over Printed Name of Troop Leader / Outfit Advisor)

NOTE: Upon signing this Merit Badge Application, the Troop Leader / Outfit Advisor recommends and set an appointment with an
accredited / certified Merit Badge Counselor on specified dates of Merit Badge Counseling / Examination.
_________________________________________________________________________________________________________________

MERIT BADGE COUSELING APPOINMENT

Merit Badge Requirements / Projects Troop Leader / Merit Badge Counselor


Submitted and Completed Outfit Advisor Signature
I HAVE A MED KIT ALWAYS IN MY BAG FOR
IN CASE.

Date of 2nd Meeting:

Date of 3rd Meeting:


(Optional when
Requirements are
NOT
Satisfied during the
2nd Meeting)
NOTE: This portion MUST filled-out by the Scout who appears before the Merit Badge Counseling / Examination and MUST be signed by
the Troop Leader / Outfit Advisor and the Merit Badge Counselor as proof of completion for Merit Badge requirements.
_________________________________________________________________________________________________________________

MERIT BADGE COUNSELOR’S COMPLETION CERTIFICATE

THIS IS TO CERTIFY that the above-named Scout personally appeared before the undersigned and that after a careful
examination of said Scout on the subject, has satisfactorily passed the test for FIRST AID
(Merit Badge Subject)

MARCH 30,2018 SCTR.JEZZA MEH N. MAGHAMIL


(Date Passed the Merit Badge Requirements) (Signature over Printed Name of Merit badge Counselor)

BSP Form No. 17 (Rev. 07-24-12


BOY SCOUTS OF THE PHILIPPINES
National Office
Manila

MERIT BADGE APPLICATION

Date JUNE 11,2018


(Date of Merit Badge Application is applied for)

I, SALUCOT,MARIO B. JR. hereby certify that I have been a holder of


(Scout’s complete name in black letters)
The EXPLORER since DECEMBER 18,2017 that I am a member of
(Present Scout Rank/Badge) (Date passed the Board of Review)

0-1 , TAGUM NATIONAL TRADE SCHOOL , TAGUM CITY Council


(Troop / Outfit No.) (Sponsoring Institution)
And that I am qualified to work on the requirements for the FILIPINO HERITAGE Merit Badge.

___ KENT ADRIAN P. MAMAC____


(Signature over Printed Name)
APPROVED:
________________________________________________
(Signature over Printed Name of Troop Leader / Outfit Advisor)

NOTE: Upon signing this Merit Badge Application, the Troop Leader / Outfit Advisor recommends and set an appointment with an
accredited / certified Merit Badge Counselor on specified dates of Merit Badge Counseling / Examination.
_________________________________________________________________________________________________________________

MERIT BADGE COUSELING APPOINMENT

Merit Badge Requirements / Projects Troop Leader / Merit Badge Counselor


Submitted and Completed Outfit Advisor Signature
Date of 1st Meeting:

Date of 2nd Meeting:

Date of 3rd Meeting:


(Optional when
Requirements are
NOT
Satisfied during the
2nd Meeting)
NOTE: This portion MUST filled-out by the Scout who appears before the Merit Badge Counseling / Examination and MUST be signed by
the Troop Leader / Outfit Advisor and the Merit Badge Counselor as proof of completion for Merit Badge requirements.
_________________________________________________________________________________________________________________

MERIT BADGE COUNSELOR’S COMPLETION CERTIFICATE

THIS IS TO CERTIFY that the above-named Scout personally appeared before the undersigned and that after a careful
examination of said Scout on the subject, has satisfactorily passed the test for CITIZENSHIP IN THE COMMUNITY
(Merit Badge Subject)
JULY 13 BRGY. CAPT. ONDOY SAYON__ _
(Date Passed the Merit Badge Requirements) (Signature over Printed Name of Merit badge Counselor) .
BSP Form No. 17 (Rev. 07-24-12
BOY SCOUTS OF THE PHILIPPINES
National Office
Manila

MERIT BADGE APPLICATION

Date: JANUARY 25,2018


(Date of Merit Badge Application is applied for)

I, SALUCOT,MARIO B. JR. hereby certify that I have been a holder of

The EXPLORER since DECEMBER 18,2018 that I am a member of


(Present Scout Rank/Badge) (Date passed the Board of Review)

0-1 , TAGUM NATIONAL TRADE SCHOOL , TAGUM CITY Council


(Troop / Outfit No.) (Sponsoring Institution)
And that I am qualified to work on the requirements for the CITIZENSHIP IN THE COMMUNITY Merit Badge.

_ SALUCOT,MARIO B. JR.
(Signature over Printed Name)
APPROVED:
___SCTR. ROCKMAN R. MAMA, 2BH_________
(Signature over Printed Name of Troop Leader / Outfit Advisor)

NOTE: Upon signing this Merit Badge Application, the Troop Leader / Outfit Advisor recommends and set an appointment with an
accredited / certified Merit Badge Counselor on specified dates of Merit Badge Counseling / Examination.
_________________________________________________________________________________________________________________

MERIT BADGE COUSELING APPOINMENT

Merit Badge Requirements / Projects Troop Leader / Merit Badge Counselor


Submitted and Completed Outfit Advisor Signature
Date of 1st Meeting: I ATTEND THE BAYANIHAN OF THE PUROK.

Date of 2nd Meeting: I HELP THE BAYANIHAN OF THE PUROK BY


SWEEPING THE LEAVES,AND PICKING UP
SOME PLASTIC CELLOPHANES.

Date of 3rd Meeting:


(Optional when
Requirements are
NOT
Satisfied during the
2nd Meeting)
NOTE: This portion MUST filled-out by the Scout who appears before the Merit Badge Counseling / Examination and MUST be signed by
the Troop Leader / Outfit Advisor and the Merit Badge Counselor as proof of completion for Merit Badge requirements.
_________________________________________________________________________________________________________________

MERIT BADGE COUNSELOR’S COMPLETION CERTIFICATE

THIS IS TO CERTIFY that the above-named Scout personally appeared before the undersigned and that after a careful
examination of said Scout on the subject, has satisfactorily passed the test for __CITIZENSHIP IN THE COMMUNTIY _
(Merit Badge Subject)
FEBRUARY 20,2018 __
(Date Passed the Merit Badge Requirements) (Signature over Printed Name of Merit badge Counselor)

NOTE: Do not examine Scout unless application is approved by the Troop Leader / Outfit Advisor. Only certified Advancement
Counselors are authorized to sign his certificate.

BSP Form No. 17 (Rev. 07-24-12


BOY SCOUTS OF THE PHILIPPINES
National Office
Manila

MERIT BADGE APPLICATION

Date: MARCH 21, 2014____


(Date of Merit Badge Application is applied for)

I, KENT ADRIAN P. MAMAC hereby certify that I have been a holder of


(Scout’s complete name in black letters)
The EXPLORER since NOVEMBER 10, 2010 that I am a member of
(Present Scout Rank/Badge) (Date passed the Board of Review)

T-164 , DON JUAN DELA CRUZ CENT. E/S , DAVAO CITY Council
(Troop / Outfit No.) (Sponsoring Institution)
And that I am qualified to work on the requirements for the FILIPINO HERITAGE Merit Badge.

___ KENT ADRIAN P. MAMAC_____


(Signature over Printed Name)
APPROVED:
________________________________________________
(Signature over Printed Name of Troop Leader / Outfit Advisor)

NOTE: Upon signing this Merit Badge Application, the Troop Leader / Outfit Advisor recommends and set an appointment with an
accredited / certified Merit Badge Counselor on specified dates of Merit Badge Counseling / Examination.
_________________________________________________________________________________________________________________

MERIT BADGE COUSELING APPOINMENT

Merit Badge Requirements / Projects Troop Leader / Merit Badge Counselor


Submitted and Completed Outfit Advisor Signature
Date of 1st Meeting:

Date of 2nd Meeting:

Date of 3rd Meeting:


(Optional when
Requirements are
NOT
Satisfied during the
2nd Meeting)
NOTE: This portion MUST filled-out by the Scout who appears before the Merit Badge Counseling / Examination and MUST be signed by
the Troop Leader / Outfit Advisor and the Merit Badge Counselor as proof of completion for Merit Badge requirements.
_________________________________________________________________________________________________________________

MERIT BADGE COUNSELOR’S COMPLETION CERTIFICATE

THIS IS TO CERTIFY that the above-named Scout personally appeared before the undersigned and that after a careful
examination of said Scout on the subject, has satisfactorily passed the test for ____FILIPINO HERITAGE_______
(Merit Badge Subject)

APRIL 27, 2014 NELSON LOPEZ___ _____


(Date Passed the Merit Badge Requirements) (Signature over Printed Name of Merit badge Counselor)

NOTE: Do not examine Scout unless application is approved by the Troop Leader / Outfit Advisor. Only certified Advancement
Counselors are authorized to sign his certificate.

BSP Form No. 17 (Rev. 07-24-12


BOY SCOUTS OF THE PHILIPPINES
National Office
Manila

MERIT BADGE APPLICATION

Date: MAY 04, 2014_ _ __


(Date of Merit Badge Application is applied for)

I, KENT ADRIAN P. MAMAC hereby certify that I have been a holder of


(Scout’s complete name in black letters)
The EXPLORER since NOVEMBER 10, 2010 that I am a member of
(Present Scout Rank/Badge) (Date passed the Board of Review)

T-164 , DON JUAN DELA CRUZ CENT. E/S , DAVAO CITY Council
(Troop / Outfit No.) (Sponsoring Institution)
And that I am qualified to work on the requirements for the ECOLOGY Merit Badge.

___ KENT ADRIAN P. MAMAC______


(Signature over Printed Name)
APPROVED:
________________________________________________
(Signature over Printed Name of Troop Leader / Outfit Advisor)

NOTE: Upon signing this Merit Badge Application, the Troop Leader / Outfit Advisor recommends and set an appointment with an
accredited / certified Merit Badge Counselor on specified dates of Merit Badge Counseling / Examination.
_________________________________________________________________________________________________________________

MERIT BADGE COUSELING APPOINMENT

Merit Badge Requirements / Projects Troop Leader / Merit Badge Counselor


Submitted and Completed Outfit Advisor Signature
Date of 1st Meeting:

Date of 2nd Meeting:

Date of 3rd Meeting:


(Optional when
Requirements are
NOT
Satisfied during the
2nd Meeting)
NOTE: This portion MUST filled-out by the Scout who appears before the Merit Badge Counseling / Examination and MUST be signed by
the Troop Leader / Outfit Advisor and the Merit Badge Counselor as proof of completion for Merit Badge requirements.
_________________________________________________________________________________________________________________

MERIT BADGE COUNSELOR’S COMPLETION CERTIFICATE

THIS IS TO CERTIFY that the above-named Scout personally appeared before the undersigned and that after a careful
examination of said Scout on the subject, has satisfactorily passed the test for ________ ECOLOGY___________
(Merit Badge Subject)

JUNE 10, 2014 ALEXIS PORTACION________


(Date Passed the Merit Badge Requirements) (Signature over Printed Name of Merit badge Counselor)

NOTE: Do not examine Scout unless application is approved by the Troop Leader / Outfit Advisor. Only certified Advancement
Counselors are authorized to sign his certificate.

BSP Form No. 17 (Rev. 07-24-12


BOY SCOUTS OF THE PHILIPPINES
National Office
Manila

MERIT BADGE APPLICATION

Date: JUNE 18, 2014 ____


(Date of Merit Badge Application is applied for)

I, KENT ADRIAN P. MAMAC hereby certify that I have been a holder of


(Scout’s complete name in black letters)
The PATHFINDER since JUNE 10, 2014 that I am a member of
(Present Scout Rank/Badge) (Date passed the Board of Review)

T-165 , DON JUAN DELA CRUZ CENT. E/S , DAVAO CITY Council
(Troop / Outfit No.) (Sponsoring Institution)
And that I am qualified to work on the requirements for the CITIZENSHIP IN THE NATION Merit
Badge.

___ KENT ADRIAN P. MAMAC_____


(Signature over Printed Name)
APPROVED:
________________________________________________
(Signature over Printed Name of Troop Leader / Outfit Advisor)

NOTE: Upon signing this Merit Badge Application, the Troop Leader / Outfit Advisor recommends and set an appointment with an
accredited / certified Merit Badge Counselor on specified dates of Merit Badge Counseling / Examination.
_________________________________________________________________________________________________________________

MERIT BADGE COUSELING APPOINMENT

Merit Badge Requirements / Projects Troop Leader / Merit Badge Counselor


Submitted and Completed Outfit Advisor Signature
Date of 1st Meeting:

Date of 2nd Meeting:


Date of 3rd Meeting:
(Optional when
Requirements are
NOT
Satisfied during the
2nd Meeting)
NOTE: This portion MUST filled-out by the Scout who appears before the Merit Badge Counseling / Examination and MUST be signed by
the Troop Leader / Outfit Advisor and the Merit Badge Counselor as proof of completion for Merit Badge requirements.
_________________________________________________________________________________________________________________

MERIT BADGE COUNSELOR’S COMPLETION CERTIFICATE

THIS IS TO CERTIFY that the above-named Scout personally appeared before the undersigned and that after a careful
examination of said Scout on the subject, has satisfactorily passed the test for CITIZENSHIP IN THE NATION_
(Merit Badge Subject)

JULY 23, 2014 NESTOR D. CADAVAS_______


(Date Passed the Merit Badge Requirements) (Signature over Printed Name of Merit badge Counselor)

NOTE: Do not examine Scout unless application is approved by the Troop Leader / Outfit Advisor. Only certified Advancement
Counselors are authorized to sign his certificate.

BSP Form No. 17 (Rev. 07-24-12


BOY SCOUTS OF THE PHILIPPINES
National Office
Manila

MERIT BADGE APPLICATION

Date: JULY 30, 2014_ ___


(Date of Merit Badge Application is applied for)

I, KENT ADRIAN P. MAMAC hereby certify that I have been a holder of


(Scout’s complete name in black letters)
The PATHFINDER since JUNE 10, 2014 that I am a member of
(Present Scout Rank/Badge) (Date passed the Board of Review)

T-165 , DON JUAN DELA CRUZ CENT. E/S , DAVAO CITY Council
(Troop / Outfit No.) (Sponsoring Institution)
And that I am qualified to work on the requirements for the PHYSICAL FITNESS Merit Badge.

___ KENT ADRIAN P. MAMAC______


(Signature over Printed Name)
APPROVED:
________________________________________________
(Signature over Printed Name of Troop Leader / Outfit Advisor)

NOTE: Upon signing this Merit Badge Application, the Troop Leader / Outfit Advisor recommends and set an appointment with an
accredited / certified Merit Badge Counselor on specified dates of Merit Badge Counseling / Examination.
_________________________________________________________________________________________________________________

MERIT BADGE COUSELING APPOINMENT

Merit Badge Requirements / Projects Troop Leader / Merit Badge Counselor


Submitted and Completed Outfit Advisor Signature
Date of 1st Meeting:

Date of 2nd Meeting:


Date of 3rd Meeting:
(Optional when
Requirements are
NOT
Satisfied during the
2nd Meeting)
NOTE: This portion MUST filled-out by the Scout who appears before the Merit Badge Counseling / Examination and MUST be signed by
the Troop Leader / Outfit Advisor and the Merit Badge Counselor as proof of completion for Merit Badge requirements.
_________________________________________________________________________________________________________________

MERIT BADGE COUNSELOR’S COMPLETION CERTIFICATE

THIS IS TO CERTIFY that the above-named Scout personally appeared before the undersigned and that after a careful
examination of said Scout on the subject, has satisfactorily passed the test for ____PHYSICAL FITNESS_______
(Merit Badge Subject)

AUGUST 28, 2014 CHARLIEMAGNE BAGASOL____


(Date Passed the Merit Badge Requirements) (Signature over Printed Name of Merit badge Counselor)

NOTE: Do not examine Scout unless application is approved by the Troop Leader / Outfit Advisor. Only certified Advancement
Counselors are authorized to sign his certificate.

BSP Form No. 17 (Rev. 07-24-12


BOY SCOUTS OF THE PHILIPPINES
National Office
Manila

MERIT BADGE APPLICATION

Date: SEPTEMBER 07, 2014 _


(Date of Merit Badge Application is applied for)

I, KENT ADRIAN P. MAMAC hereby certify that I have been a holder of


(Scout’s complete name in black letters)
The PATHFINDER since JUNE 10, 2014 that I am a member of
(Present Scout Rank/Badge) (Date passed the Board of Review)

T-165 , DON JUAN DELA CRUZ CENT. E/S , DAVAO CITY Council
(Troop / Outfit No.) (Sponsoring Institution)
And that I am qualified to work on the requirements for the SWIMMING Merit Badge.

___ KENT ADRIAN P. MAMAC_____


(Signature over Printed Name)
APPROVED:
________________________________________________
(Signature over Printed Name of Troop Leader / Outfit Advisor)

NOTE: Upon signing this Merit Badge Application, the Troop Leader / Outfit Advisor recommends and set an appointment with an
accredited / certified Merit Badge Counselor on specified dates of Merit Badge Counseling / Examination.
_________________________________________________________________________________________________________________

MERIT BADGE COUSELING APPOINMENT

Merit Badge Requirements / Projects Troop Leader / Merit Badge Counselor


Submitted and Completed Outfit Advisor Signature
Date of 1st Meeting:
Date of 2nd Meeting:

Date of 3rd Meeting:


(Optional when
Requirements are
NOT
Satisfied during the
2nd Meeting)
NOTE: This portion MUST filled-out by the Scout who appears before the Merit Badge Counseling / Examination and MUST be signed by
the Troop Leader / Outfit Advisor and the Merit Badge Counselor as proof of completion for Merit Badge requirements.
_________________________________________________________________________________________________________________

MERIT BADGE COUNSELOR’S COMPLETION CERTIFICATE

THIS IS TO CERTIFY that the above-named Scout personally appeared before the undersigned and that after a careful
examination of said Scout on the subject, has satisfactorily passed the test for ________SWIMMING___________
(Merit Badge Subject)

OCTOBER 10, 2014 RONALD M. ONATO________


(Date Passed the Merit Badge Requirements) (Signature over Printed Name of Merit badge Counselor)

NOTE: Do not examine Scout unless application is approved by the Troop Leader / Outfit Advisor. Only certified Advancement
Counselors are authorized to sign his certificate.

BSP Form No. 17 (Rev. 07-24-12


BOY SCOUTS OF THE PHILIPPINES
National Office
Manila

MERIT BADGE APPLICATION

Date: NOVEMBER 04, 2014 __


(Date of Merit Badge Application is applied for)

I, KENT ADRIAN P. MAMAC hereby certify that I have been a holder of


(Scout’s complete name in black letters)
The PATHFINDER since JUNE 10, 2014 that I am a member of
(Present Scout Rank/Badge) (Date passed the Board of Review)

T-165 , DON JUAN DELA CRUZ CENT. E/S , DAVAO CITY Council
(Troop / Outfit No.) (Sponsoring Institution)
And that I am qualified to work on the requirements for the SOIL AND WATER CONSERVATION_ _ Merit Badge.

___ KENT ADRIAN P. MAMAC______


(Signature over Printed Name)
APPROVED:
________________________________________________
(Signature over Printed Name of Troop Leader / Outfit Advisor)

NOTE: Upon signing this Merit Badge Application, the Troop Leader / Outfit Advisor recommends and set an appointment with an
accredited / certified Merit Badge Counselor on specified dates of Merit Badge Counseling / Examination.
_________________________________________________________________________________________________________________

MERIT BADGE COUSELING APPOINMENT

Merit Badge Requirements / Projects Troop Leader / Merit Badge Counselor


Submitted and Completed Outfit Advisor Signature
Date of 1st Meeting:
Date of 2nd Meeting:

Date of 3rd Meeting:


(Optional when
Requirements are
NOT
Satisfied during the
2nd Meeting)
NOTE: This portion MUST filled-out by the Scout who appears before the Merit Badge Counseling / Examination and MUST be signed by
the Troop Leader / Outfit Advisor and the Merit Badge Counselor as proof of completion for Merit Badge requirements.
_________________________________________________________________________________________________________________

MERIT BADGE COUNSELOR’S COMPLETION CERTIFICATE

THIS IS TO CERTIFY that the above-named Scout personally appeared before the undersigned and that after a careful
examination of said Scout on the subject, has satisfactorily passed the test for SOIL AND WATER CONSERVATION
(Merit Badge Subject)

DECEMBER 10, 2014 ALEXUS VELVESTRE________


(Date Passed the Merit Badge Requirements) (Signature over Printed Name of Merit badge Counselor)

NOTE: Do not examine Scout unless application is approved by the Troop Leader / Outfit Advisor. Only certified Advancement
Counselors are authorized to sign his certificate.

BSP Form No. 17 (Rev. 07-24-12


BOY SCOUTS OF THE PHILIPPINES
National Office
Manila

MERIT BADGE APPLICATION

Date: JANUARY 10, 2015___


(Date of Merit Badge Application is applied for)

I, KENT ADRIAN P. MAMAC hereby certify that I have been a holder of


(Scout’s complete name in black letters)
The PATHFINDER since JUNE 10, 2014 that I am a member of
(Present Scout Rank/Badge) (Date passed the Board of Review)

T-165 , DON JUAN DELA CRUZ CENT. E/S , DAVAO CITY Council
(Troop / Outfit No.) (Sponsoring Institution)
And that I am qualified to work on the requirements for the WEATHER Merit Badge.

___ KENT ADRIAN P. MAMAC______


(Signature over Printed Name)
APPROVED:
________________________________________________
(Signature over Printed Name of Troop Leader / Outfit Advisor)

NOTE: Upon signing this Merit Badge Application, the Troop Leader / Outfit Advisor recommends and set an appointment with an
accredited / certified Merit Badge Counselor on specified dates of Merit Badge Counseling / Examination.
_________________________________________________________________________________________________________________

MERIT BADGE COUSELING APPOINMENT

Merit Badge Requirements / Projects Troop Leader / Merit Badge Counselor


Submitted and Completed Outfit Advisor Signature
Date of 1st Meeting:

Date of 2nd Meeting:

Date of 3rd Meeting:


(Optional when
Requirements are
NOT
Satisfied during the
2nd Meeting)
NOTE: This portion MUST filled-out by the Scout who appears before the Merit Badge Counseling / Examination and MUST be signed by
the Troop Leader / Outfit Advisor and the Merit Badge Counselor as proof of completion for Merit Badge requirements.
_________________________________________________________________________________________________________________

MERIT BADGE COUNSELOR’S COMPLETION CERTIFICATE

THIS IS TO CERTIFY that the above-named Scout personally appeared before the undersigned and that after a careful
examination of said Scout on the subject, has satisfactorily passed the test for _________WEATHER___________
(Merit Badge Subject)

MARCH 17, 2015 ROEL BAJENTING ________


(Date Passed the Merit Badge Requirements) (Signature over Printed Name of Merit badge Counselor)

NOTE: Do not examine Scout unless application is approved by the Troop Leader / Outfit Advisor. Only certified Advancement
Counselors are authorized to sign his certificate.

Form No. 17 (Rev. 07-24-12


BOY SCOUTS OF THE PHILIPPINES
National Office
Manila

MERIT BADGE APPLICATION

Date: MARCH 26, 2015____


(Date of Merit Badge Application is applied for)

I, KENT ADRIAN P. MAMAC hereby certify that I have been a holder of


(Scout’s complete name in black letters)
The OUTDOORSMAN since MARCH 17, 2015 that I am a member of
(Present Scout Rank/Badge) (Date passed the Board of Review)

T-165 , DON JUAN DELA CRUZ CENT. E/S , DAVAO CITY Council
(Troop / Outfit No.) (Sponsoring Institution)
And that I am qualified to work on the requirements for the EMERGENCY PREPAREDNESS Merit Badge.

___ KENT ADRIAN P. MAMAC______


(Signature over Printed Name)
APPROVED:
________________________________________________
(Signature over Printed Name of Troop Leader / Outfit Advisor)

NOTE: Upon signing this Merit Badge Application, the Troop Leader / Outfit Advisor recommends and set an appointment with an
accredited / certified Merit Badge Counselor on specified dates of Merit Badge Counseling / Examination.
_________________________________________________________________________________________________________________

MERIT BADGE COUSELING APPOINMENT


Merit Badge Requirements / Projects Troop Leader / Merit Badge Counselor
Submitted and Completed Outfit Advisor Signature
Date of 1st Meeting:

Date of 2nd Meeting:

Date of 3rd Meeting:


(Optional when
Requirements are
NOT
Satisfied during the
2nd Meeting)
NOTE: This portion MUST filled-out by the Scout who appears before the Merit Badge Counseling / Examination and MUST be signed by
the Troop Leader / Outfit Advisor and the Merit Badge Counselor as proof of completion for Merit Badge requirements.
_________________________________________________________________________________________________________________

MERIT BADGE COUNSELOR’S COMPLETION CERTIFICATE

THIS IS TO CERTIFY that the above-named Scout personally appeared before the undersigned and that after a careful
examination of said Scout on the subject, has satisfactorily passed the test for EMERGENCY PREPAREDNESS
(Merit Badge Subject)

MAY 02, 2015 MARIO S. BIACA__ ______


(Date Passed the Merit Badge Requirements) (Signature over Printed Name of Merit badge Counselor)

NOTE: Do not examine Scout unless application is approved by the Troop Leader / Outfit Advisor. Only certified Advancement
Counselors are authorized to sign his certificate.

BSP Form No. 17 ( Rev. 07-24-12


BOY SCOUTS OF THE PHILIPPINES
National Office
Manila

MERIT BADGE APPLICATION

Date: JUNE 10, 2015 ____


(Date of Merit Badge Application is applied for)

I, KENT ADRIAN P. MAMAC hereby certify that I have been a holder of


(Scout’s complete name in black letters)
The OUTDOORSMAN since MARCH 17, 2015 that I am a member of
(Present Scout Rank/Badge) (Date passed the Board of Review)

T-166 , DON JUAN DELA CRUZ CENT. E/S , DAVAO CITY Council
(Troop / Outfit No.) (Sponsoring Institution)
And that I am qualified to work on the requirements for the CAMPING Merit Badge.

___ KENT ADRIAN P. MAMAC______


(Signature over Printed Name)
APPROVED:
________________________________________________
(Signature over Printed Name of Troop Leader / Outfit Advisor)

NOTE: Upon signing this Merit Badge Application, the Troop Leader / Outfit Advisor recommends and set an appointment with an
accredited / certified Merit Badge Counselor on specified dates of Merit Badge Counseling / Examination.
_________________________________________________________________________________________________________________
MERIT BADGE COUSELING APPOINMENT

Merit Badge Requirements / Projects Troop Leader / Merit Badge Counselor


Submitted and Completed Outfit Advisor Signature
Date of 1st Meeting:

Date of 2nd Meeting:

Date of 3rd Meeting:


(Optional when
Requirements are
NOT
Satisfied during the
2nd Meeting)
NOTE: This portion MUST filled-out by the Scout who appears before the Merit Badge Counseling / Examination and MUST be signed by
the Troop Leader / Outfit Advisor and the Merit Badge Counselor as proof of completion for Merit Badge requirements.
_________________________________________________________________________________________________________________

MERIT BADGE COUNSELOR’S COMPLETION CERTIFICATE

THIS IS TO CERTIFY that the above-named Scout personally appeared before the undersigned and that after a careful
examination of said Scout on the subject, has satisfactorily passed the test for ________CAMPING___________
(Merit Badge Subject)

JULY 25, 2015 KID PLACENCIA_ _______


(Date Passed the Merit Badge Requirements) (Signature over Printed Name of Merit badge Counselor)

NOTE: Do not examine Scout unless application is approved by the Troop Leader / Outfit Advisor. Only certified Advancement
Counselors are authorized to sign his certificate.

BSP Form No. 17 (Rev. 07-24-12


BOY SCOUTS OF THE PHILIPPINES
National Office
Manila

MERIT BADGE APPLICATION

Date: AUGUST 04, 2015


(Date of Merit Badge Application is applied for)

I, KENT ADRIAN P. MAMAC hereby certify that I have been a holder


of
(Scout’s complete name in black letters)
The OUTDOORSMAN since MARCH 17, 2015 that I am a member of
(Present Scout Rank/Badge) (Date passed the Board of Review)

T-166 , DON JUAN DELA CRUZ CENT. E/S , DAVAO CITY Council
(Troop / Outfit No.) (Sponsoring Institution)
And that I am qualified to work on the requirements for the PLUMBING Merit Badge.

___ KENT ADRIAN P. MAMAC______


(Signature over Printed Name)
APPROVED:
________________________________________________
(Signature over Printed Name of Troop Leader / Outfit Advisor)
NOTE: Upon signing this Merit Badge Application, the Troop Leader / Outfit Advisor recommends and set an appointment with an
accredited / certified Merit Badge Counselor on specified dates of Merit Badge Counseling / Examination.
_________________________________________________________________________________________________________________

MERIT BADGE COUSELING APPOINMENT

Merit Badge Requirements / Projects Troop Leader / Merit Badge Counselor


Submitted and Completed Outfit Advisor Signature
Date of 1st Meeting:

Date of 2nd Meeting:

Date of 3rd Meeting:


(Optional when
Requirements are
NOT
Satisfied during the
2nd Meeting)
NOTE: This portion MUST filled-out by the Scout who appears before the Merit Badge Counseling / Examination and MUST be signed by
the Troop Leader / Outfit Advisor and the Merit Badge Counselor as proof of completion for Merit Badge requirements.
_________________________________________________________________________________________________________________

MERIT BADGE COUNSELOR’S COMPLETION CERTIFICATE

THIS IS TO CERTIFY that the above-named Scout personally appeared before the undersigned and that after a careful
examination of said Scout on the subject, has satisfactorily passed the test for ________PLUMBING___________
(Merit Badge Subject)

SEPTEMBER 10, 2015 JENNIFER CAMBALON______


(Date Passed the Merit Badge Requirements) (Signature over Printed Name of Merit badge Counselor)

NOTE: Do not examine Scout unless application is approved by the Troop Leader / Outfit Advisor. Only certified Advancement
Counselors are authorized to sign his certificate.

BSP Form No. 17 (Rev. 07-24-12


BOY SCOUTS OF THE PHILIPPINES
National Office
Manila

MERIT BADGE APPLICATION

Date: SEPTEMBER 18, 2015_ _


(Date of Merit Badge Application is applied for)

I, KENT ADRIAN P. MAMAC hereby certify that I have been a holder of


(Scout’s complete name in black letters)
The OUTDOORSMAN since MARCH 17, 2015 that I am a member of
(Present Scout Rank/Badge) (Date passed the Board of Review)

T-166 , DON JUAN DELA CRUZ CENT. E/S , DAVAO CITY Council
(Troop / Outfit No.) (Sponsoring Institution)
And that I am qualified to work on the requirements for the ELECTRICITY Merit Badge.

___ KENT ADRIAN P. MAMAC______


(Signature over Printed Name)
APPROVED:
________________________________________________
(Signature over Printed Name of Troop Leader / Outfit Advisor)

NOTE: Upon signing this Merit Badge Application, the Troop Leader / Outfit Advisor recommends and set an appointment with an
accredited / certified Merit Badge Counselor on specified dates of Merit Badge Counseling / Examination.
_________________________________________________________________________________________________________________

MERIT BADGE COUSELING APPOINMENT

Merit Badge Requirements / Projects Troop Leader / Merit Badge Counselor


Submitted and Completed Outfit Advisor Signature
Date of 1st Meeting:

Date of 2nd Meeting:

Date of 3rd Meeting:


(Optional when
Requirements are
NOT
Satisfied during the
2nd Meeting)
NOTE: This portion MUST filled-out by the Scout who appears before the Merit Badge Counseling / Examination and MUST be signed by
the Troop Leader / Outfit Advisor and the Merit Badge Counselor as proof of completion for Merit Badge requirements.
_________________________________________________________________________________________________________________

MERIT BADGE COUNSELOR’S COMPLETION CERTIFICATE

THIS IS TO CERTIFY that the above-named Scout personally appeared before the undersigned and that after a careful
examination of said Scout on the subject, has satisfactorily passed the test for ________ ELECTRICITY___________
(Merit Badge Subject)

OCTOBER 28, 2015 JOHNNY BAJENTING________


(Date Passed the Merit Badge Requirements) (Signature over Printed Name of Merit badge Counselor)

NOTE: Do not examine Scout unless application is approved by the Troop Leader / Outfit Advisor. Only certified Advancement
Counselors are authorized to sign his certificate.

BSP Form No. 17 (Rev. 07-24-12


BOY SCOUTS OF THE PHILIPPINES
National Office
Manila

MERIT BADGE APPLICATION

Date: NOVEMBER 06, 2015 _


(Date of Merit Badge Application is applied for)

I, KENT ADRIAN P. MAMAC hereby certify that I have been a holder


of
(Scout’s complete name in black letters)
The OUTDOORSMAN since MARCH 17, 2015 that I am a member of
(Present Scout Rank/Badge) (Date passed the Board of Review)

T-166 , DON JUAN DELA CRUZ CENT. E/S , DAVAO CITY Council
(Troop / Outfit No.) (Sponsoring Institution)
And that I am qualified to work on the requirements for the CARPENTRY Merit Badge.
___ KENT ADRIAN P. MAMAC______
(Signature over Printed Name)
APPROVED:
________________________________________________
(Signature over Printed Name of Troop Leader / Outfit Advisor)

NOTE: Upon signing this Merit Badge Application, the Troop Leader / Outfit Advisor recommends and set an appointment with an
accredited / certified Merit Badge Counselor on specified dates of Merit Badge Counseling / Examination.
_________________________________________________________________________________________________________________

MERIT BADGE COUSELING APPOINMENT

Merit Badge Requirements / Projects Troop Leader / Merit Badge Counselor


Submitted and Completed Outfit Advisor Signature
Date of 1st Meeting:

Date of 2nd Meeting:

Date of 3rd Meeting:


(Optional when
Requirements are
NOT
Satisfied during the
2nd Meeting)
NOTE: This portion MUST filled-out by the Scout who appears before the Merit Badge Counseling / Examination and MUST be signed by
the Troop Leader / Outfit Advisor and the Merit Badge Counselor as proof of completion for Merit Badge requirements.
_________________________________________________________________________________________________________________

MERIT BADGE COUNSELOR’S COMPLETION CERTIFICATE

THIS IS TO CERTIFY that the above-named Scout personally appeared before the undersigned and that after a careful
examination of said Scout on the subject, has satisfactorily passed the test for _______ CARPENTRY___________
(Merit Badge Subject)

DECEMBER 03, 2015 BENEDICTO ALCALA________


(Date Passed the Merit Badge Requirements) (Signature over Printed Name of Merit badge Counselor)

NOTE: Do not examine Scout unless application is approved by the Troop Leader / Outfit Advisor. Only certified Advancement
Counselors are authorized to sign his certificate.

BSP Form No. 17 (Rev. 07-24-12


BOY SCOUTS OF THE PHILIPPINES
National Office
Manila

MERIT BADGE APPLICATION

Date: JANUARY 12, 2016 _


(Date of Merit Badge Application is applied for)

I, KENT ADRIAN P. MAMAC hereby certify that I have been a holder of


(Scout’s complete name in black letters)
The VENTURER since DECEMBER 03, 2015 that I am a member of
(Present Scout Rank/Badge) (Date passed the Board of Review)

T-166 , DON JUAN DELA CRUZ CENT. E/S , DAVAO CITY Council
(Troop / Outfit No.) (Sponsoring Institution)
And that I am qualified to work on the requirements for the LIFE SAVING Merit Badge.

___ KENT ADRIAN P. MAMAC______


(Signature over Printed Name)
APPROVED:
________________________________________________
(Signature over Printed Name of Troop Leader / Outfit Advisor)

NOTE: Upon signing this Merit Badge Application, the Troop Leader / Outfit Advisor recommends and set an appointment with an
accredited / certified Merit Badge Counselor on specified dates of Merit Badge Counseling / Examination.
_________________________________________________________________________________________________________________

MERIT BADGE COUSELING APPOINMENT

Merit Badge Requirements / Projects Troop Leader / Merit Badge Counselor


Submitted and Completed Outfit Advisor Signature
Date of 1st Meeting:

Date of 2nd Meeting:

Date of 3rd Meeting:


(Optional when
Requirements are
NOT
Satisfied during the
2nd Meeting)
NOTE: This portion MUST filled-out by the Scout who appears before the Merit Badge Counseling / Examination and MUST be signed by
the Troop Leader / Outfit Advisor and the Merit Badge Counselor as proof of completion for Merit Badge requirements.
_________________________________________________________________________________________________________________

MERIT BADGE COUNSELOR’S COMPLETION CERTIFICATE

THIS IS TO CERTIFY that the above-named Scout personally appeared before the undersigned and that after a careful
examination of said Scout on the subject, has satisfactorily passed the test for _______LIFE SAVING___________
(Merit Badge Subject)

FEBRUARY 28, 2016 NESTOR D. CADAVAS_______


(Date Passed the Merit Badge Requirements) (Signature over Printed Name of Merit badge Counselor)

NOTE: Do not examine Scout unless application is approved by the Troop Leader / Outfit Advisor. Only certified Advancement
Counselors are authorized to sign his certificate.

BSP Form No. 17 (Rev. 07-24-12


BOY SCOUTS OF THE PHILIPPINES
National Office
Manila

MERIT BADGE APPLICATION

Date: MARCH 05, 2016_ _


(Date of Merit Badge Application is applied for)

I, KENT ADRIAN P. MAMAC hereby certify that I have been a holder


of
(Scout’s complete name in black letters)
The VENTURER since DECEMBER 03, 2015 that I am a member of
(Present Scout Rank/Badge) (Date passed the Board of Review)

T-166 , DON JUAN DELA CRUZ CENT. E/S , DAVAO CITY Council
(Troop / Outfit No.) (Sponsoring Institution)
And that I am qualified to work on the requirements for the WORLD BROTHERHOOD Merit Badge.

___ KENT ADRIAN P. MAMAC______


(Signature over Printed Name)
APPROVED:
________________________________________________
(Signature over Printed Name of Troop Leader / Outfit Advisor)

NOTE: Upon signing this Merit Badge Application, the Troop Leader / Outfit Advisor recommends and set an appointment with an
accredited / certified Merit Badge Counselor on specified dates of Merit Badge Counseling / Examination.
_________________________________________________________________________________________________________________

MERIT BADGE COUSELING APPOINMENT

Merit Badge Requirements / Projects Troop Leader / Merit Badge Counselor


Submitted and Completed Outfit Advisor Signature
Date of 1st Meeting:

Date of 2nd Meeting:

Date of 3rd Meeting:


(Optional when
Requirements are
NOT
Satisfied during the
2nd Meeting)
NOTE: This portion MUST filled-out by the Scout who appears before the Merit Badge Counseling / Examination and MUST be signed by
the Troop Leader / Outfit Advisor and the Merit Badge Counselor as proof of completion for Merit Badge requirements.
_________________________________________________________________________________________________________________

MERIT BADGE COUNSELOR’S COMPLETION CERTIFICATE

THIS IS TO CERTIFY that the above-named Scout personally appeared before the undersigned and that after a careful
examination of said Scout on the subject, has satisfactorily passed the test for WORLD BROTHERHOOD___
(Merit Badge Subject)

APRIL 20, 2016 ERNEST UY_____ ___


(Date Passed the Merit Badge Requirements) (Signature over Printed Name of Merit badge Counselor)

NOTE: Do not examine Scout unless application is approved by the Troop Leader / Outfit Advisor. Only certified Advancement
Counselors are authorized to sign his certificate.

BSP Form No. 17 (Rev. 07-24-12


BOY SCOUTS OF THE PHILIPPINES
National Office
Manila

MERIT BADGE APPLICATION

Date: APRIL 30, 2016 _ _


(Date of Merit Badge Application is applied for)

I, KENT ADRIAN P. MAMAC hereby certify that I have been a holder of


(Scout’s complete name in black letters)
The VENTURER since DECEMBER 03, 2015 that I am a member of
(Present Scout Rank/Badge) (Date passed the Board of Review)

T-166 , DON JUAN DELA CRUZ CENT. E/S , DAVAO CITY Council
(Troop / Outfit No.) (Sponsoring Institution)
And that I am qualified to work on the requirements for the ENVIRONMENT Merit Badge.

___ KENT ADRIAN P. MAMAC______


(Signature over Printed Name)
APPROVED:
________________________________________________
(Signature over Printed Name of Troop Leader / Outfit Advisor)

NOTE: Upon signing this Merit Badge Application, the Troop Leader / Outfit Advisor recommends and set an appointment with an
accredited / certified Merit Badge Counselor on specified dates of Merit Badge Counseling / Examination.
_________________________________________________________________________________________________________________

MERIT BADGE COUSELING APPOINMENT

Merit Badge Requirements / Projects Troop Leader / Merit Badge Counselor


Submitted and Completed Outfit Advisor Signature
Date of 1st Meeting:

Date of 2nd Meeting:

Date of 3rd Meeting:


(Optional when
Requirements are
NOT
Satisfied during the
2nd Meeting)
NOTE: This portion MUST filled-out by the Scout who appears before the Merit Badge Counseling / Examination and MUST be signed by
the Troop Leader / Outfit Advisor and the Merit Badge Counselor as proof of completion for Merit Badge requirements.
_________________________________________________________________________________________________________________

MERIT BADGE COUNSELOR’S COMPLETION CERTIFICATE

THIS IS TO CERTIFY that the above-named Scout personally appeared before the undersigned and that after a careful
examination of said Scout on the subject, has satisfactorily passed the test for _______EVIRONMENT___________
(Merit Badge Subject)

MAY 14, 2016 LORETO BAWAY_ _______


(Date Passed the Merit Badge Requirements) (Signature over Printed Name of Merit badge Counselor)

NOTE: Do not examine Scout unless application is approved by the Troop Leader / Outfit Advisor. Only certified Advancement
Counselors are authorized to sign his certificate.

BSP Form No. 17 (Rev. 07-24-12


BOY SCOUTS OF THE PHILIPPINES
National Office
Manila

MERIT BADGE APPLICATION

Date: MAY 20, 2016_ ___


(Date of Merit Badge Application is applied for)
I, KENT ADRIAN P. MAMAC hereby certify that I have been a holder of
(Scout’s complete name in black letters)
The VENTURER since DECEMBER 03, 2015 that I am a member of
(Present Scout Rank/Badge) (Date passed the Board of Review)

T-167 , DON JUAN DELA CRUZ CENT. E/S , DAVAO CITY Council
(Troop / Outfit No.) (Sponsoring Institution)
And that I am qualified to work on the requirements for the GARDENING Merit Badge.

___ KENT ADRIAN P. MAMAC______


(Signature over Printed Name)
APPROVED:
________________________________________________
(Signature over Printed Name of Troop Leader / Outfit Advisor)

NOTE: Upon signing this Merit Badge Application, the Troop Leader / Outfit Advisor recommends and set an appointment with an
accredited / certified Merit Badge Counselor on specified dates of Merit Badge Counseling / Examination.
_________________________________________________________________________________________________________________

MERIT BADGE COUSELING APPOINMENT

Merit Badge Requirements / Projects Troop Leader / Merit Badge Counselor


Submitted and Completed Outfit Advisor Signature
Date of 1st Meeting:

Date of 2nd Meeting:

Date of 3rd Meeting:


(Optional when
Requirements are
NOT
Satisfied during the
2nd Meeting)
NOTE: This portion MUST filled-out by the Scout who appears before the Merit Badge Counseling / Examination and MUST be signed by
the Troop Leader / Outfit Advisor and the Merit Badge Counselor as proof of completion for Merit Badge requirements.
_________________________________________________________________________________________________________________

MERIT BADGE COUNSELOR’S COMPLETION CERTIFICATE

THIS IS TO CERTIFY that the above-named Scout personally appeared before the undersigned and that after a careful
examination of said Scout on the subject, has satisfactorily passed the test for _______ GARDENING___________
(Merit Badge Subject)

JULY 02, 2016 LORETO BAWAY_ _______


(Date Passed the Merit Badge Requirements) (Signature over Printed Name of Merit badge Counselor)

NOTE: Do not examine Scout unless application is approved by the Troop Leader / Outfit Advisor. Only certified Advancement
Counselors are authorized to sign his certificate.

BSP Form No. 17 (Rev. 07-24-12


BOY SCOUTS OF THE PHILIPPINES
National Office
Manila

MERIT BADGE APPLICATION


Date: JULY 10, 2016__ __
(Date of Merit Badge Application is applied for)

I, KENT ADRIAN P. MAMAC hereby certify that I have been a holder of


(Scout’s complete name in black letters)
The VENTURER since DECEMBER 03, 2015 that I am a member of
(Present Scout Rank/Badge) (Date passed the Board of Review)

T-167 , DON JUAN DELA CRUZ CENT. E/S , DAVAO CITY Council
(Troop / Outfit No.) (Sponsoring Institution)
And that I am qualified to work on the requirements for the AGRICULTURE Merit Badge.

___KENT ADRIAN P. MAMAC____


(Signature over Printed Name)
APPROVED:
________________________________________________
(Signature over Printed Name of Troop Leader / Outfit Advisor)

NOTE: Upon signing this Merit Badge Application, the Troop Leader / Outfit Advisor recommends and set an appointment with an
accredited / certified Merit Badge Counselor on specified dates of Merit Badge Counseling / Examination.
_________________________________________________________________________________________________________________

MERIT BADGE COUSELING APPOINMENT

Merit Badge Requirements / Projects Troop Leader / Merit Badge Counselor


Submitted and Completed Outfit Advisor Signature
Date of 1st Meeting:

Date of 2nd Meeting:

Date of 3rd Meeting:


(Optional when
Requirements are
NOT
Satisfied during the
2nd Meeting)
NOTE: This portion MUST filled-out by the Scout who appears before the Merit Badge Counseling / Examination and MUST be signed by
the Troop Leader / Outfit Advisor and the Merit Badge Counselor as proof of completion for Merit Badge requirements.
_________________________________________________________________________________________________________________

MERIT BADGE COUNSELOR’S COMPLETION CERTIFICATE

THIS IS TO CERTIFY that the above-named Scout personally appeared before the undersigned and that after a careful
examination of said Scout on the subject, has satisfactorily passed the test for _______AGRICULTURE__________
(Merit Badge Subject)

AUGUST 25, 2016 JOSELITO L. PAGALAN______


(Date Passed the Merit Badge Requirements) (Signature over Printed Name of Merit badge Counselor)

NOTE: Do not examine Scout unless application is approved by the Troop Leader / Outfit Advisor. Only certified Advancement
Counselors are authorized to sign his certificate.
BSP Form No. 17 (Rev. 07-24-12
BOY SCOUTS OF THE PHILIPPINES
National Office
Manila
MERIT BADGE APPLICATION

Date: SEPTEMBER 03, 2016 __


(Date of Merit Badge Application is applied for)

I, KENT ADRIAN P. MAMAC hereby certify that I have been a holder of


(Scout’s complete name in black letters)
The VENTURER since DECEMBER 03, 2015 that I am a member of
(Present Scout Rank/Badge) (Date passed the Board of Review)

T-167 , DON JUAN DELA CRUZ CENT. E/S , DAVAO CITY Council
(Troop / Outfit No.) (Sponsoring Institution)
And that I am qualified to work on the requirements for the GO GREEN Merit Badge.

___ KENT ADRIAN P. MAMAC______


(Signature over Printed Name)
APPROVED:
________________________________________________
(Signature over Printed Name of Troop Leader / Outfit Advisor)

NOTE: Upon signing this Merit Badge Application, the Troop Leader / Outfit Advisor recommends and set an appointment with an
accredited / certified Merit Badge Counselor on specified dates of Merit Badge Counseling / Examination.
_________________________________________________________________________________________________________________

MERIT BADGE COUSELING APPOINMENT

Merit Badge Requirements / Projects Troop Leader / Merit Badge Counselor


Submitted and Completed Outfit Advisor Signature
Date of 1st Meeting:

Date of 2nd Meeting:

Date of 3rd Meeting:


(Optional when
Requirements are
NOT
Satisfied during the
2nd Meeting)
NOTE: This portion MUST filled-out by the Scout who appears before the Merit Badge Counseling / Examination and MUST be signed by
the Troop Leader / Outfit Advisor and the Merit Badge Counselor as proof of completion for Merit Badge requirements.
_________________________________________________________________________________________________________________

MERIT BADGE COUNSELOR’S COMPLETION CERTIFICATE

THIS IS TO CERTIFY that the above-named Scout personally appeared before the undersigned and that after a careful
examination of said Scout on the subject, has satisfactorily passed the test for _____GO GREEN_________
(Merit Badge Subject)

OCTOBER 29, 2016 NOEL SARCAUGA ________


(Date Passed the Merit Badge Requirements) (Signature over Printed Name of Merit badge Counselor)

NOTE: Do not examine Scout unless application is approved by the Troop Leader / Outfit Advisor. Only certified Advancement
Counselors are authorized to sign his certificate.
BSP Form No. 17 (Rev. 07-24-12
BOY SCOUTS OF THE PHILIPPINES
National Office
Manila

MERIT BADGE APPLICATION

Date: NOVEMBER 07, 2016 __


(Date of Merit Badge Application is applied for)

I, KENT ADRIAN P. MAMAC hereby certify that I have been a holder


of
(Scout’s complete name in black letters)
the VENTURER since DECEMBER 03, 2015 that I am a member of
(Present Scout Rank/Badge) (Date passed the Board of Review)

T-167 , DON JUAN DELA CRUZ CENT. E/S , DAVAO CITY Council
(Troop / Outfit No.) (Sponsoring Institution)
And that I am qualified to work on the requirements for GROW GREEN Merit Badge.

___ KENT ADRIAN P. MAMAC_____


(Signature over Printed Name)
APPROVED:
________________________________________________
(Signature over Printed Name of Troop Leader / Outfit Advisor)

NOTE: Upon signing this Merit Badge Application, the Troop Leader / Outfit Advisor recommends and set an appointment with an
accredited / certified Merit Badge Counselor on specified dates of Merit Badge Counseling / Examination.
_________________________________________________________________________________________________________________

MERIT BADGE COUSELING APPOINMENT

Merit Badge Requirements / Projects Troop Leader / Merit Badge Counselor


Submitted and Completed Outfit Advisor Signature
Date of 1st Meeting:

Date of 2nd Meeting:

Date of 3rd Meeting:


(Optional when
Requirements are
NOT
Satisfied during the
2nd Meeting)
NOTE: This portion MUST filled-out by the Scout who appears before the Merit Badge Counseling / Examination and MUST be signed by
the Troop Leader / Outfit Advisor and the Merit Badge Counselor as proof of completion for Merit Badge requirements.
_________________________________________________________________________________________________________________

MERIT BADGE COUNSELOR’S COMPLETION CERTIFICATE

THIS IS TO CERTIFY that the above-named Scout personally appeared before the undersigned and that after a careful
examination of said Scout on the subject, has satisfactorily passed the test for _______GROW GREEN___________
(Merit Badge Subject)

DECEMBER 17, 2017 NOEL SARCAUGA ________


(Date Passed the Merit Badge Requirements) (Signature over Printed Name of Merit badge Counselor)
NOTE: Do not examine Scout unless application is approved by the Troop Leader / Outfit Advisor. Only certified Advancement
Counselors are authorized to sign his certificate.

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