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BOY SCOUTS OF THE PHILIPPINES 181 Natividad Almeda-Lopez Street, Ermita, Manila MERIT BADGE APPLICATION Date _______________________ I, _____________________________________________________________ hereby certify that I have been a holder of (Scout’s name in block letter) the __________________________________ since _____________________________________ that I am a member of (Badge) (Date Badge Earned) __________________________, _________________________________________, ______________________ Council (Troop/Outfit Number) (Sponsoring Institution) (Local Council) and that I am qualified to work on the requirements of the ____________________________________ Merit Badge. (Merit Badge) _________________________________ (Signature of Applicant) APPROVED: __________________________________ (Signature of Troop Leader/Outfit Advisor) (Attention Scout: Arrange with your Troop Leader/Outfit Advisor for an appointment with a Merit Badge Counselor.) MERIT BADGE COUNSELOR’S CERTIFICATION THIS IS TO CERTIFY that the above-named Scout personally appeared before the undersigned and that after a careful examination of said Scout on the subject, has satisfactorily passed the test for _____________________________________________. (Merit Badge Subject) _____________________ _____________________________________________________ Date Merit Badge Counselor Note: Do not examine Scout unless application is approved by the Troop Leader/Outfit Advisor. Only certified Advancement Counselor are authorized to sign this certificate.

Merit Badge Application Form

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Page 1: Merit Badge Application Form

BOY SCOUTS OF THE PHILIPPINES 181 Natividad Almeda-Lopez Street, Ermita, Manila

MERIT BADGE APPLICATION

Date _______________________

I, _____________________________________________________________ hereby certify that I have been a holder of (Scout’s name in block letter)

the __________________________________ since _____________________________________ that I am a member of (Badge) (Date Badge Earned)

__________________________, _________________________________________, ______________________ Council (Troop/Outfit Number) (Sponsoring Institution) (Local Council)

and that I am qualified to work on the requirements of the ____________________________________ Merit Badge. (Merit Badge)

_________________________________ (Signature of Applicant) APPROVED: __________________________________ (Signature of Troop Leader/Outfit Advisor) (Attention Scout: Arrange with your Troop Leader/Outfit Advisor for an appointment with a Merit Badge Counselor.)

MERIT BADGE COUNSELOR’S CERTIFICATION THIS IS TO CERTIFY that the above-named Scout personally appeared before the undersigned and that after a careful examination of said Scout on the subject, has satisfactorily passed the test for _____________________________________________. (Merit Badge Subject) _____________________ _____________________________________________________ Date Merit Badge Counselor Note: Do not examine Scout unless application is approved by the Troop Leader/Outfit Advisor. Only certified Advancement

Counselor are authorized to sign this certificate.