BSP FORM No.

6-01
(Revised 30 Jan 2020)
BOY SCOUTS OF THE PHILIPPINES
181 Natividad Almeda-Lopez Street, Ermita, Manila 1000

APPLICATION FOR UNIT REGISTRATION

(AUR)
Position ADULT LEADERS Signature Age Membership Highest Tenure in Religion
PRINT: Surname, Given Name, M.I. Card No. Rank Scouting
Earned
ISCOM:
-inst’l. Scouting Rep.
-Parent Representative
-ISC Chair/Coor./Member
-Inst’l Scting. Coordinator
Unit Leader/Circle Adviser
Asst. Unit Leader/ACA
Asst. Unit Leader/ACA

Religion
ROSTER OF SCOUT MEMBERSHIP Registration Age Membership Highest Tenure in
Status Card No. Rank Scouting
Surname, Given Name, M.I. Earned
SPL/SCL/RL:
Assistant SPL/SCL/RL:
SCRIBE:
TREASURER:
AUDITOR (For Rover Circles Only):
QUARTERMASTER:
1. JADORMIO, CARLH MAXIMINIANO H. N 11 RC
2. ALCANTARA, JOHN MHELWIN L. N 12 RC
3. CABUSAO, JHON ROY H. N 11 RC
4. SALAMAT, JET LEE A. N 11 RC
5. ALCANTARA, CHERWIN N. N 11 RC
6. BLANZA, JULIAN G. N 11 RC
7. GALLURIN, CHRISTIAN JOSEPH M. N 12 RC
8. ALCANTARRA, RANDELL A. N 11 RC

1. CARBONEL, DALE JACOB H. N 10 RC

2. ESCO, JASPHER N 12 RC
3. CARBONEL, DALE ALBERT H. N 10 RC
4. BRAGAIS, JOHN RALPH B. N 10 BAC
5. ANDRES, JHONATHAN R. N 11 RC
6. DALION, EMMANUEL H. N 11 BAC
7. JAVIER, HARRY EXZEKIEL S. N 10 RC
8. HABAB, FHIL ELZEVIR M. N 11 RC

1. PERONA, DOMINIC REI A. N 11 RC

2. ALCODIA, KIAN LEE D. N 10 RC
3. TEJADA, WILMHAR H. N 11 RC
4. ASUNCION, AUSTIN KEITH A. N 11 RC
5. VIERNES, ENRICO V. N 10 RC
6. GAMUEDA, BRIX L. N 10 RC
7. MANGAY-AYAM, RHYAN JAYCOB Y. N 10 RC
8. VENTURA II, JOSE F. N 10 RC

Num ber of Scouts: Male Female Number of Adults: Male Female

7.

REGISTRATION FEES LOCAL COUNCIL OFFICE ACTION

RATE AMOUNT Processed :
Registration Officer Date
Total Number of Scouts: 50.00
Approved :
TOTAL Fees Remitted P
Council Scout Executive Date

REGIONAL OFFICE ACTION

Paid Under OR. No. Date
Expiration Date Checked :
Registration Officer Date
 REGISTRATION FEES LOCAL COUNCIL OFFICE ACTION
RATE AMOUNT Processed :
Registration Officer Date
Total Number of Scouts: 50.00
Approved :
TOTAL Fees Remitted P
Council Scout Executive Date

REGIONAL OFFICE ACTION

Paid Under OR. No. Date
Expiration Date Checked :
Registration Officer Date