Monday, July 8, 2013

Rajinder Badkulia developed : Application for Rajya Puraskar (State Award) Test – 2013 at Regional Level.

केन्द्रीय विद्यालय संगठन राज्य, भारत स्काउट्स एवं गाईड्स, जम्मु सम्भाग
KVS STATE BHARAT SCOUTS AND GUIDES, JAMMU-DIVISION
राज्य पुरस्कार परीक्षा - 2013 हेतु प्रार्थनापत्र
Application for Rajya Puraskar (State Award) Test – 2013
 [Please fill up the details carefully, over - writing will not be accepted]

Photo in S/G Uniform attested by the Principal / Group Leader or Unit Leader
 01. Name of the Division: -                                                     JAMMU   
02.  Name of the District: -                      …………………………………………………………………………
03.  Name of the Vidyalaya: -                 …………………………………………………………………………
04.  Name of the Group: -                       …………………………………………………………………………
05.  Registration No. of the Group: -    ………………………………………………….……………………
06.  Charter No. :-                                    ………………………………………………….………………………
07.  Name of the Scout / Guide: - (In Eng.)……………………………………………………………….. (हिन्दी में)…………………
08.  Father's Name: - …………………………………………………………………………..…..…………………………………………………
09.  Mother’s Name:-…………………………………………………………………….……………………………………………………………...
10. Date of Birth: -                                                       …………………. /…………………. /………………….
11.  Date of Joining the Unit: -                                 …………………. /…………………. /………………….
12.  Date of Completion of Pravesh: -                    …………………. /…………………. /………………….
13.  Date of Investiture: -                                          …………………. /…………………. /………………….
14.  Date of Pratham Sopan: -                                 …………………. /…………………. /………………….
15.  Date of Completion of Dwitiya Sopan: -      …………………. /…………………. /………………….  
16.  Date of Completion of Tritiya Sopan: -        …………………. /…………………. /………………….  
       Certificate No: - ………………………………………………… & Date: -……… /…..…… /…………. (Attached the Copy)
17.  Details of Rajya Puraskar Proficiency Badges:-      
Sr.No.      
Name of the Prof. Badge           
 Date of Passing      
Examiner’s name, Designation &  Address
1.



2.



3.



Gr.-A



Gr.-B



Date of COH Resolution Recommendation: - ……………/…………../2013
Signature of Father/Guardian                                                                                            Signature of Scout/Guide
Date: - ………… /…………. /2013                                                                                  Date: - ………… /………… /2013
Recommended the Scout/Guide (name)…………………………………………for the Rajya Puraskar Test-2013.        
                                                                                                               Signature of the Scout Master/Guide Captain
Name of the Scout Master/Guide Captain:-……………………………………………………………………………………….. Scouting/Guiding Qualification (Adv/HWB/ALT/LT)…………......…….…Certificate No.:……………………….…          Date:…….…/……..../………...       Warrant No. ………..………………..…       Date of Validity: …….…/……..../………...     

Recommended the Scout/Guide (name)………………………………………..for the Rajya Puraskar Test-2013.

Date: ………. /………/2013                                      Stamp                       District/Divisional Commissioner (S/G)

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