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S.

NO

Name of the Scout


Father OR Gurdian's
Residential Address
name
Date of
Rashtra
pati
scout

NEW/RENEWAL:
Date of
Tritiya
sopan
Date of
Rajya
puraskar
Rover

Date of
Dwithiya
sopan

Date of
pratham
a sopan

Date of
Pravesh
investitu
re

Date of
joining in the
Scout troo[p

Edu.
qualifications

Date of
Birth

Phone
No &
email.ID
Aadhar
NO

NAME OF THE SCOUT TROOP:


DISTRICT:

Signatur
Appix Latest Stamp size
e of the
photo in Scouting
Scout

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