BSP Form No. 10 (Rev.

04-05-12) (to be accomplished in Quadruplicate)

BOY SCOUTS OF THE PHILIPPINES

MARINDUQUE Council

APPLICATION FOR EAGLE SCOUT RANK

(To be submitted to the Regional Office)

Date
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 satisfying the necessary requirements for the Explorer, Pathfinder, Outdoorsman, and Venturer Scout Ranks, I am now
qualified and prepared to appear before the National Board of Review for Eagle Scout, after the successful completion of the minimum number of
Merit Badges required and specified for the Eagle Scout Rank.

I state On My Honor that I have, as a true Scout; I lived up to the ideals of the Scout Oath and Law and promoted the Scout Spirit among
my fellow Scouts. I also have conscientiously tried my best to develop my leadership ability while helping other young people to become better Scouts

I respectfully submit my registration and advancement records for your consideration, as follows:

Applicant’s Signature Date of Birth: Age:

Membership ID Card No.:
Date of Registration:
Full Name in Print Valid Until:

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 as a Senior Scout
Became an Outdoorsman Scout Rank holder on JANUARY 13, 2024 Became a Venturer Scout Rank holder on APRIL 09, 2024
(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 ALLAN FAJARDO 06-08-2022 06-28-2022
CITIZENSHIP 2. Citizenship 07-05-2022 07-18-2022
SPORTS 3. Physical Fitness 07-24-2022 07-21-2022
CAMPCRAFT 4. Ropeworks ARNEL ROBLES 07-24-2022 09-05-2022
CAMPCRAFT 5. Cooking ALERMA OLA 10-24-2022 10-30-2022
NATURE 6. Ecology LUCILA RODIL 04-14-2023 04-27-2023
NATURE 7. Weather JOHN RAZEL BAROÑA 05-14-2023 05-20-2023
PUBLIC SERVICE 8. First Aid ALDRIN REYNOSO 06-12-2023 06-16-2023
CAMPCRAFT 9. Signalling MELCHOR HERNANDEZ 09-21-2023 10-10-2023
CAMPCRAFT 10. Navigation CHRISTIAN FIEGALAN 09-21-2023 10-02-2023
CAMPCRAFT 11. Camping LARRU QUIJANO 10-14-2023 10-23-2023
SPORTS 12. Swimming MARK ANTHONY T. ZULUETA 10-14-2023 10-26-2023
PUBLIC SERVICE 13. Emergency Preparedness ROBERTO F. MACDON 11-05-2023 11-15-2023
Specialist Rating: 3 14. 11-06-2023 11-21-2023
Livelihood Elective 15. 11-28-2023 12-20-2023
Merit Badges 16. 11-28-2023 12-28-2023
17. Hiking MARVIN JINAO 02-04-2024 02-12-2024
5 Advancement/ 18. Nature Lore JUDITH QUING 02-04-2024 02-12-2024
Career Track
19. Wildlife Conservation JOHN RAZEL BAROÑA 02-18-2024 03-05-2024
Elective Merit
20. Forestry DENNIS MOTOL 02-18-2024 03-05-2024
Badges subject
21. Pioneering RAFAEL JOHN JAO 03-16-2024 03-27-2024
PUBLIC SERVICE 22. Life Saving SN2 RAZALI V. UDDIN 05-12-2024 06-04-2024
PUBLIC SERVICE 23. World Brotherhood MARK ANTHONY T. ZULUETA 05-12-2024 06-15-2024
Specialist Rating: 3 24. 07-07-2024 08-19-2024
Career Elective Merit 25. GO Green Merit Badge MATT DARRYL P. JAQUECA 08-19-2024 09-02-2024
Badges 26. GROW Green Merit Badge MATT DARRYL P. JAQUECA 08-19-2024 10-15-2024
CHARACTER CERTIFICATION Date:

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 a true and worthy Scout by living up to the Ideals of the Scouting Movement.

Parent’s/Guardian’s Signature Outfit Advisor’s Signature

Religious Adviser’s Signature Class Adviser’s Signature

ACTION OF 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 (no. of years/months)
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 approval of this application.

MATT DARRYL P. JAQUECA CLEOBILLY J. VALENTINO

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

ACTION OF LOCAL COUNCIL OFFICE

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

Date: Time: Place:

ROMELITO M. NEPOMUCENO
ACTION OF THE NATIONAL BOARD OF REVIEW
FOR EAGLE SCOUT RANK Council Scout Executive
Signature Over Printed Name

This is to CERTIFY that the Eagle Scout candidate appeared

before the National Board of Review for Eagle Scout Rank on ACTION OF THE REGIONAL OFFICE
JUNE 6, 2025 , held at
(Date of the Board of Review)
Processed by:
Torrijos Municipal Stadium, Poblacion, Torrijos Marinduque ,
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

RODOLFO C. PANGILINAN
Regional Youth Development Officer V

ACTION OF THE NATIONAL OFFICE

Member Member APPROVED:

Date SECRETARY GENERAL

Member Member
Certificate Badge / Issued:
NOTE: Please write your name in print, neatly and legibly before your signature. Medal Issued: 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 at the National Office; Duplicate copy is sent to the Regional Office; Triplicate and Quadruplicate copies sent to the Local Council Office and the
Eagle Scout candidate.