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Application

This document is an application form for admission to the State Level Adventure Camp for Scouts/Guides and Rovers/Rangers scheduled from May 24 to May 28, 2025, at Neelakurinji Camping and Training Centre. It requires personal information, including the applicant's name, contact details, and experience in scouting and adventure activities. Additionally, it mentions the need for a risk certificate and medical certificate to be enclosed with the application.

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krithiraj2411
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28 views1 page

Application

This document is an application form for admission to the State Level Adventure Camp for Scouts/Guides and Rovers/Rangers scheduled from May 24 to May 28, 2025, at Neelakurinji Camping and Training Centre. It requires personal information, including the applicant's name, contact details, and experience in scouting and adventure activities. Additionally, it mentions the need for a risk certificate and medical certificate to be enclosed with the application.

Uploaded by

krithiraj2411
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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दक्षिण रे लवे राज्य भारत स्काउट् स और गाइड

THE SOUTHERN RAILWAY STATE BHARAT SCOUTS & GUIDES


State Headquarters : NGO, Park Town, Chennai - 600 003.
Training Centre : Hoskote Camping & Training Centre,
No. 10, Baden Powell Road (Bisset Road)Perambur, Chennai - 600 011.
E-mail : srlybsg@gmail.com

APPLICATION FORM

1. Name of the Applicant:____________________________________________

BSG UID

2. Father’s Name :__________________________________________


3. Residential Address :__________________________________________
___________________________________________
___________________________________________
Pin: ________________
Mobile & Whats App No. _______________________
E-mail ID____________________________________
Aadhar No. __________________________________
4. Date of Birth : ___________________________________________
5. Experience in Scouting/Guiding Activities: ______________________________
____________________________________________
6. Experience in Adventure Activities: ____________________________________
7. Nearest Telephone/Mobile No.: _______________________________________

Recommended for admission in the State Level Adventure Camp for Scouts/Guides and
Rovers/Rangers from 24th to 28th May 2025 at Neelakurinji Camping and Training Centre, Ketti (Nilgiris).

Risk Certificate and Medical Certificate are enclosed.

DOC/(S/G) District Secretary/DC(S/G)

FOR OFFICE USE

Admitted/Not Admitted: _______________________________________________________________

Receipt No. _________________________ Date: ___________________ Rs._____________________

Date:

Leader of the Camp

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