SUBHAS SCOUT GROUP

The Southern Railway State Bharat Scouts and Guides
Integral Coach Factory District, Chennai - 600 038 (INDIA)

SUBHAS SCOUT GROUP

INTERGAL COACH FACTORY DISTRICT

CHENNAI - 600 038.

APPLICATION FOR REGISTRATION / RENEWAL AS A CUB / SCOUT / ROVER

Name in CAPITAL LETTERS
Date of Birth
Name of the School / College
Standard & Section
Father's Name
Mother's Name
Father / Mother Employed in
Designation
Shop & Token Number
Employee Number
Residential Address
Phone Number
Blood Group
Email ID

	SUBMIT

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Also send us your declaration to accept the terms of us.

DECLARATION

I hereby declare that the above named is wholly dependent on me and he is eligible for the issue of Privilege passes as admissible under the Privilege pass rules. The name of the above has been furnished in the declaration form given to the ICF/ Railway Adminstration for the issue of Privilege passes. I also declare that the particulars furnished above are true to the best of my knowledge and belief.

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The Southern Railway State Bharat Scouts and GuidesIntegral Coach Factory District, Chennai - 600 038 (INDIA)