TROOP REGISTRATION FORM
VISAYAS
NEGROS ORIENTAL-SIQUIJOR
Troop Name Age Level
Troop Address Sponsoring Group
Troop Tel. No. Complete Mailing Address
District Committee Name/Municipality
Barangay Committee Name Troop Birthday
Troop Type School Based Community Based Date Applied
Troop Status Re-registered New
REGISTRATION OF LEADERS
[Link]
POSITION T/NT NAME (Last, First, M.I.) BIRTHDATE BENEFICIARY
OLD NEW
Troop Leader
Co-Leader
REGISTRATION OF TROOP MEMBERS
NAME Birthday Gr/Yr Reg. Status
BENEFICIARY
(LAST NAME, FIRST NAME, MI) MM DD YY Re-Reg New
Name of Patrol/Cluster
1.
2.
3.
4.
5.
6.
7.
8.
Name of Patrol/Cluster
1.
2.
3.
4.
5.
6.
7.
8.
Name of Patrol/Cluster
1.
2.
3.
4.
5.
6.
7.
8.
Name of Patrol/Cluster
1.
2.
3.
4.
5.
6.
7.
8.
Name of Patrol/Cluster
1.
2.
3.
4.
5.
6.
7.
8.
Submitted by: Noted by:
Troop Leader Date Principal Head/School/BC Chairman Date
Troop Number
REMINDER:
Please SUBMIT 3 COPIES. THANK YOU & GOD BLESS
ELEMENTARY GRADES KINDER TWINKLER GS
GR 1-3 START GS
GR 4-6 JUNIOR GS
HIGHSCHOOL GRADES GR 7-10 SENIOR GS
GR 11-12 CADET GS
REGISTRATION FEES:
ADULT 50.50
GIRL 50.50
TROOP FEE 10.00
BARANGAY COMMITTEE REGISTRATION FORM
VISAYAS
NEGROS ORIENTAL-SIQUIJOR
Barangay Commitee Name: Barangay Commitee Number:
Barangay Committee Address: District Committee Address:
[Link].: [Link].:
Registration Status: Re-reg New
Name BIRTHDATE [Link]
Position Beneficiary
(Last Name, First Name, M) (MM/DD/YY) Reg.-reg. New
Chairman
Vice-Chairman
Secretary
Treasurer
Member
Member
Member
Member
Member
Member
Member
Member
Submitted by:
BC Chairman Date
REMINDER:
Please SUBMIT 3 COPIES. THANK YOU & GOD BLESS
MINIMUM OF 5 ADULTS
MAXIMUM OF 12 ADULTS
REGISTRATION FEES:
ADULT 50.50
BC FEE 15.00
DISTRICT COMMITTEE REGISTRATION FORM
VISAYAS
NEGROS ORIENTAL-SIQUIJOR
District Commitee Name: Address:
District Committee [Link].:
Registration Status: Re-registered_____ New _____
NAME Birthdate Group
POSITION Beneficiary
(Last Name, First Name, M.I.) MM DD YY Represented
Chairman
Vice-Chairman
Secretary
Treasurer
Dist. Commissioner
Troop Organizer
Program Officer
DFA
Member
Member
Member
Member
Member
Member
Member
Member
Member
Submitted by: Noted by:
District Field Adviser Date
Dist. Com. Chairman/Dist. Commissioner Date
REMINDER:
Please SUBMIT 3 COPIES. THANK YOU & GOD BLESS
MINIMUM OF 5 ADULTS
MAXIMUM OF 17 ADULTS
REGISTRATION FEES:
ADULT 50.50
DC FEE 22.50