BSP Forms 194 ( Rev.

02-06-05
(To be accomplished in TRIPLICATE)
Clear Form
BOY SCOUTS OF THE PHILIPPINES
Camarines Sur Council

REPORT OF THE BOARD OF REVIEW

For Boy and Senior Scouts
The National Court of Honor Address ________________________
Boy Scouts of the Philippines
Manila Date ____________________________

We, the undersigned members of the Board of Review of _____________________________

do hereby certify that the Scouts named below personally appeared before us on __________________
_______________________________, 20__________ and we are convinced that the Scouts have met the
requirements for the Badge/badges they are applying for.
Name Troop/ Age Present Advancement Advancement Badge
(Please Print) Outfit Badged Earned Applied for

Note : Sample entry only

LANCE A. MORADULLA 9 MEMBERSHIP TENDERFOOT

CARL LAURENCE U BAUTISTA 10 MEMBERSHIP TENDERFOOT
JEROME L. ARAZAS 11 TENDERFOOT SECOND CLASS
CHRISTIAN KYLE M. CAPISTRANO 10 TENDERFOOT SECOND CLASS
CARL ANGELO B. HAPA 11 SECOND LASS FIRST CLASS
ANGELO S. DIONES 11 SECOND LASS FIRST CLASS
JADE C. BERMUDO 11 SECOND LASS FIRST CLASS
JOHN LEMUEL B. TAWAGON 12 SECOND LASS FIRST CLASS
ORTUA, JOHN CESAR 9 MEMBERSHIP TENDERFOOT
RAZONABLE, JAN IVAN 11 SECOND CLASS FIRST CLASS
ALIMUIN, JAN MARI 11 SECOND CLASS FIRST CLASS
APPROVAL RECOMMENDED:

BAYANI NAVARRO ___(District Coordinator)______ ___School Coordinator___

Chairman, Board of Review Member Member

APPROVAL RECOMMENDED:

_______DOROTEO IRVIN AYO_________ ALEX B. BONGALOS ___________

Chairman, Council Advancement and Awards Committee Council Program Commissioner
LOCAL COUNCIL OFFICE ACTION REGIONAL OFFICE ACTION
Received/Recorded:_________________________
Received ________________ _______________ (Date)
(Date) (Initial) ________________________
Checked (Registration, age etc.) ______________ (initial)
Approved: ENRIQUE H. BESENIO
Approved: MARIA CONCEPCION R. BESENIO Regional Scout Director
Council Scout Executive/OIC

IMPORTANT: Please attach Merit Badge and individual application for Tenderfoot Badge or higher advancement badge.
DISTRIBUTION::
1.Original Copy for Regional Office 2. Duplicate Copy for Local Council office 3. Triplicate Copy for Troop Leaders/Outfit
Adviser.