Ø should work at least for 12 months after the completion of the Advanced course successfully.
Ø should successfully complete the Training Study with with N.T.C. Certificate.
Ø complete successfully any two of the following conditions: (Sl No. one is compulsory.
1. Register her unit for Prime Minister Shield Competition / Upa Rashtrapati Award Competition and submit a certificate issued by District Organising Commissioner (G) and District Training Commissioner (G), countersigned by District Commissioner (G) shall be submitted to leader of the Course along with the application. The Registration of P.M.S.C. record will be verified from the National Headquarters, New Delhi.
2. Produce at least 4 (four) Tritiya Sopan Guides. Submit a certificate from District Organising Commissioner (G) and District Training Commissioner (G).
3. She should submit a progress report of her Unit on the prescribed proforma duly verified by District Organising Commissioner (G) and District Training Commissioner(G).
4. Photocopy of Warrant and validity. THE BHARAT SCOUTS & GUIDES, NATIONAL TRAINING CENTRE, PACHMARHI (M.P.)
Application for H.W.B. Courses (Guide Wing) ………………….. Section
Course Dates : From ______ to ______ Place : __________________
Name of the State : ________________________________________________
1. Full Name (In Block Letters) : ________________________________________________
2. Full Postal Address : ________________________________________________
________________________________________________
___________________ State Pin code : _______________
Phone No. (If any) _________________________________
3. Date of Birth : _________________ (……..Year,…… Month,….…Day)
4. Name of the Unit : ________________________________________________
Charter No. ______________________ Date : ___________ (Attach Photocopy)
Warrant No. _____________________ Date : ___________ (Attach Photocopy)
5. Educational Qualification : _______________________________________________
6. Guiding Qualification : _______________________________________________
(Training Details) :
Sl | Name of the Course | Dates | Place | Certificate No | Leader of the Course | |
From | To | |||||
1 | Basic Course | |||||
2 | Advanced Course |
Training Study completed on : ___________ Certificate No. _________ Date __________
7. Any Special Interest, Skill : _______________________________________________
8. Registration of PM Shield / UR Award on ………………… for year …………… Receipt No. & Date ………………….
(Attach separate certificate by DTC(G) / DOC(G) and DC(G) & verify by State Training Commissioner (G).
9. Produce Swarn Pankh/Tritiya Sopan/Nipun in Unit
(Attach separate certificate by DTC(G) / DOC(G) and DC(G) & verify by State Training Commissioner (G).
10. Conduct weekend camp held at : ___________________________ form _____ to _____ No. _____
(Attach separate certificate by DTC(G) / DOC(G) and DC(G) & verify by State Training Commissioner (G).
11. List of books in Guiding studied : ____________________.
12. Other Qualification : ______________________________
13. Subject Well versed : _____________________________
Signature of the Candidate
Date : _________________
Recommendation of S.T.C. (G)
Date : ____________________
Forwarded through State Secretary
Enclosed :
1. Photocopy of Warrant & Charter valid till.
2. Photocopy of Basic & Advanced Course Certificate.
3. Photocopy of Training Study NTC Registration Number.
4. P.M.S.C. Registration – DOC(G) & DTC(G) certificate.
5. Certificate for 4 Tritiya Sopan Guides.
6. Progress Report of Unit for last three years.
FORM 16
Progress Report of Unit
( Guide Wing )
1. Name of the State : ………………………………….
2. Name of Unit : ……………………………………….
3. Name of Unit Leader : …………………………….
4. Group Charter No. ………………………… Date …………….. Copy attached.
5. Warrant No. ………………………………… Date …………….. Copy attached.
6. Progress chart are given below : (Current & last two years).
Sl | Number of Bulbul / Guide / Ranger | As on | |||
01.04.20……. | 01.04.20…… | 01.04.20…. | |||
1 | Pravesh | ||||
Bulbul/Guide/Ranger | |||||
2 | Komal Pankh / Pratham Sopan / Praveen | ||||
Bulbul/Guide/Ranger | |||||
3 | Rajat Pankh / Dwitiya Sopan / Nipun | ||||
Bulbul/Guide/Ranger | |||||
4 | Swarn Pankh / Tritiya Sopan | ||||
Bulbul/Guide | |||||
5 | Heerak Pankh / Rajya Puraskar | ||||
Bulbul/Guide | |||||
6 | Golden Arrow / Rashtrapati Guide / Rashtrapati Ranger | ||||
Bulbul/Guide/Ranger | |||||
7 | Total | ||||
8 | Date of Registration Prime Minister Shield Competition / Upa Rashtrapati Award | ||||
9 | Date of submission of log book PMSC / UPA |
10 | Courses / events details : |
a. | Participation in Dist level programme | ||||
Sl | Name of the Event | Venue | Dates | No attended | |
From | To | ||||
i |
b. | Participation in State level programme | ||||
Sl | Name of the Event | Venue | Dates | No attended | |
From | To | ||||
i |
c. | Participation in National level programme | ||||
Sl | Name of the Event | Venue | Dates | No attended | |
From | To | ||||
i |
d. | Participation in International level programme | ||||
Sl | Name of the Event | Venue | Dates | No attended | |
From | To | ||||
i |
It is to certify that above information are correct and her unit is running effectively.
DOC(G) DTC(G) DC(G)
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