BSP Form No.

10 ( Revised 04-15-12) ( to be accomplished in Quadruplicate)

BOY SCOUTS OF THE PHILIPPINES
ZAMBOANGA CITY COUNCIL
APPLICATION FOR EAGLE SCOUT RANK
(To be submitted to the Regional Office)
Date: July 8, 2023
THE NATIONAL COURT OF HONOR
Boy Scouts of the Philippines
Manila
Dear Sir/Madam:
I would like to formally express my sincerest intent to apply for the Eagle Scout Rank, the highest rank in Senior
Scout Advancement, please do accept my application and consider myself as an Eagle Scout Candidate.
In addition to meeting the necessary requirements for the previous advancement badges (Tenderfoot, Second
Class, Explorer, First Class, Pathfinder, Outdoorsman, and Venturer), I have now qualified for the minimum number of Merit
Badges required for the Eagle Scout Rank.
I state On My Honor that I have as a true Scout Lived up to the Scout Oath and Law and promoted the Scout Spirit
among the Scouts. I also have conscientiously tried my best to develop my leadership ability while helping other boys to become
better Scouts.
I respectfully submit my registration and advancement records for your consideration, as follows:

Applicants Signature Date of Birth: Age:

Membership ID Card No.:
Date of Registration:
Valid Until:
Full Name in Print
Registered as a Senior Scout of Outfit No. , Sponsored by the
Position in the Outfit: No. of years as A KAB Scout as a Boy Scout Senior Scout
Became Outdoorsman Scout Rank Holder on Became a Venturer Scout Rank Holder on
Date Certificate Issued Date Certificate Issued
Merit Badge Earned. (Corresponding approved applications for these Merit Badges are attached)
MERIT BADGE SPECIFIC MERIT BADGE NAME OF MERIT BADGE DATE APPLIED DATE PASSED
GROUP SUBJECT COUNSELORS (mm - dd - yr) (mm - dd - yr)
PUBLIC SERVICE 1 Safety CHRISTIAN MARK U. BANAGAN 06-07-18 06-17-18
CITIZENSHIP 2 Citizenship in the Home BASILIO D. UY 07-13-18 07-20-18
CITIZENSHIP 3 Citizenship in the Community ATTY. JOSE RIZALINO L. ORTEGA 08-10-18 8-20-18
PUBLIC SERVICE 4 First Aid MAYZAL H. ALIBASA 08-31-18 9-Oct-18
CITIZENSHIP 5 Filipino Heritage NEIL P. ENRIQUEZ 09-21-18 10-Jan-18
NATURE 6 Ecology or Tree Parenting JOSELITO I. ALEJABO 10-Dec-18 10-26-18
CITIZENSHIP 7 Citizenship in the Nation ATTY. EMILIO B. AQUINO 12-Mar-18 12-17-18
SPORTS 8 Physical Fitness JADZEN NAHOOR B. JAJI, ALT 1-Jul-19 01-25-19
SPORTS 9 Swimming ES CHOLINE JESSE B. MARCIAL 2-Jan-19 02-19-19
NATURE 10 Soil and Water Conservation ES RICA MICHELLE V. AGUILAR 3-Apr-19 03-15-19
NATURE 11 Weather MARIBEL G. ENRIQUEZ 04-26-19 5-Jun-19
PUBLIC SERVICE 12 Emergency Preparedness ROLANDO F. ROSALDO 9-Feb-19 09-16-19
CAMPCRAFT 13 Camping EDGARDO A. FALCTAN, ALT 10-Apr-19 10-14-19
14 Signalling ES CLAIME JAY R. CARZADA, WBH 11-29-19 12-Nov-19
Specialist rating: 3 related
15 Cooking RUBEN SL ENRIQUEZ 1-Mar-20 01-20-20
Merit Badges subject 16 Pioneering ES GILBERT I. VARGAS, WBH 8-Feb-21 08-23-21
PUBLIC SERVICE 17 Lifesaving MAYZAL H. ALIBASA 01-17-22 02-14-22
CITIZENSHIP 18 World Brotherhood MC JHEFFERSON B. DEANG, RS 02-25-22 03-18-22
19 Carpentry EDGARDO SAPALO, JR. 04-22-22 05-16-22
Specialist rating: 3 related
20 Hiking STEPHEN DALE DELA PENA, WBH 6-Oct-22 06-30-22
Merit Badges subject 21 Ropework ES GILBERT I. VARGAS, WBH 07-15-22 8-May-22
NATURE 22 GO GREEN Merit Badge JOSELITO I. ALEJABO 10-Mar-22 10-Oct-22
NATURE 23 GROW GREEN Merit Badge JOSELITO I. ALEJABO 12-Feb-22 2-Nov-23
CHARACTER CERTIFICATION
As a result of our personal knowledge and observation, we the undersigned, hereby certify that the Eagle
Scout Candidate has proved himself/herself to be true and worthy Scout by living up to the Ideals of the Scouting
Movement.

Parent's/Guardian Signature Outfit Advisor's Signature

Religious Adviser's Signature Class Adviser Signature

ACTION OF THE COUNCIL COMMITTEE ON ADVANCEMENT

We hereby certify that the applicant has furnished the committee satisfactory and concrete evidence that:
1. The Scout candidate has maintained an active registered relationship to scouting for more than since he
became a Venturer Scout Rank holder, and
2. He/She has made a satisfactory effort to develop and demonstrate leadership ability and
3. He/She has satisfactorily put into practice the Ideals and Principles of the Scouting Movement
The committee on Advancement, therefore, recommends the approval of this application.

ATTY. JOSE RIZALINO L. ORTEAGA, LT AGUSTIN A. ANDAJAO, LT

Chairman, Committee on Advancement Date Council Program Commissioner
(Signature Over Printed Name) (Signature Over Printed Name)

ACTION OF THE LOCAL COUNCIL OFFICE

Respectfully endorsed to the Regional Office, BSP, with the recommendation that the Special Board of Review for Eagle
Scout Rank be held as follows:

Date: Time: Place:

ACTION OF THE NATIONAL BOARD OF REVIEW

FOR EAGLE SCOUT RANK JOSELITO I. ALEJABO
Council Scout Executive/OIC
This is to CERTIFY that the Eagle Scout Candidate appeared (Signature Over Printed Name)
before the National Board of Review for Eagle Scout Rank on
, held at ACTION OF THE REGIONAL OFFICE
(Date of the Board of Review) Processed by: __________________________
, and has satisfied Date received by the Regional Office: ________
the Board that he/she is qualified for the Eagle Scout Rank. Board Constituted: ______________________

RECOMMENDING APPROVAL
Chairman of the Board of Review

Regional Scout Director

ACTION OF THE NATIONAL OFFICE
Member Member Approved:

Date: SECRETARY GENERAL

Member Member Certificate Badge/Issued: __________________

Medal Issued:
NOTE: Please write your name in print, neatly and legibly before your signature. _________________No.:_________________
Posted/Recorded: _______________________

IMPORTANT: This form must be accomplished in QUADRUPLICATE, and must be submitted to the Regional Office, BSP for
endorsement. If approved, Original Copy is retained by the National Office; Duplicate copy is sent to the Regional Office;
Triplicate and Quadruplicate copies sent to Local Council Office and the Eagle Scout candidate.