registration form quaid e-azam badge

PIA BOY SCOUTS ASSOCIATION Recommendation for Quaid-e- Azam Badge District__________________ 1. Particulars: Name______________________________ Father’s Name _________________________ Educational Qualification______________ Scout Qualification______________________ Age: (Date of Birth) __________________Date of Joining_________________________ Address: _______________________________________________ Cell No_______________________ 2. Rank Badges Qualification (i) Ittehad Badge Camp Date ____________________ Passed on_____________________ (ii) Tanzeem Badge Camp Date___________________ Passed on_____________________ (iv) Yaqeen Badge Camp Date _____________________Passed on_____________________ 3. Proficiency Badges (i) ________________________________ Certificate ON. & Date _________________________ (During Tanzeem Badge) (ii) _______________________________ Certificate ON. & Date __________________________ (During Yaqeen Badge) (iii) ______________________________ Certificate ON. & Date __________________________ (During Yaqeen Badge) (iv)______________________________ Certificate ON. & Date __________________________ (Compulsory) (v) _______________________________ Certificate ON. & Date __________________________ Paste Color Photograph in Scout Uniform 2” x1.5”

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Page 1: Registration form quaid e-azam badge

PIA BOY SCOUTS ASSOCIATION Recommendation for Quaid-e-Azam Badge District__________________

1. Particulars: Name______________________________ Father’s Name _________________________ Educational Qualification______________ Scout Qualification______________________ Age: (Date of Birth) __________________Date of Joining_________________________Address: _______________________________________________ Cell No_______________________

2. Rank Badges Qualification (i) Ittehad Badge Camp Date ____________________ Passed on_____________________ (ii) Tanzeem Badge Camp Date___________________ Passed on_____________________ (iv) Yaqeen Badge Camp Date _____________________Passed on_____________________

3. Proficiency Badges (i) ________________________________ Certificate ON. & Date _________________________ (During Tanzeem Badge)(ii) _______________________________ Certificate ON. & Date __________________________ (During Yaqeen Badge) (iii) ______________________________ Certificate ON. & Date __________________________ (During Yaqeen Badge) (iv)______________________________ Certificate ON. & Date __________________________ (Compulsory) (v) _______________________________ Certificate ON. & Date __________________________ (Compulsory)(vi) ______________________________ Certificate ON. & Date __________________________ (Compulsory) (vii) ______________________________ Certificate ON. & Date__________________________ (Compulsory)

4. Biography of Quaid-e-Azam (Certificate-Have fair Knowledge of Quaid-e-Azam’s biography)5. Quaid-e-Azam’s Message to Scouts (Certificate-Can deliver Quaid-e-Azam’s message by heart)

He is recommended for issuance of Quaid-e-Azam Badge Certificate. Date of birth proof, copies of Rank Badges, Proficiency Badges, and Certificate about knowledge of Quaid-e-Azam’s biography & Message to Scout, are attached and forwarded to Secretary Training & Programme, PIABSA, for further necessary action.

District leader District Secretary

Dated: _____________ ADC (Training & Programme

All documents checked and found OK / Not satisfactory. Secretary Training &Programme

Recommended / Not Recommended for Quaid-e-Azam Badge APC Training & Programme

Paste Color Photograph in Scout Uniform 2” x1.5”

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