GIRL SCOUTS OF THE PHILIPPINES Twinkler 4-6 years old/Pre-School

NATIONAL HEADQUARTERS Star 6-9 years old/Grades I-III

901 Padre Faura St., Ermita, Manila Junior 9-12 years old/Grades IV-VI
TROOP REGISTRATION FORM Senior 12-16 years old/High School
Cadet 16-21 years old/College
___ _VI_______Region
____ILOILO____Council
Troop Name (Flower) Age Level
Troop Address (School) Sponsoring Group
Troop Tel. No./CP 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
POSITION T/NT REG. STATUS NAME (Last, First, M.I.) BIRTHDATE BENEFICIARY
OLD NEW
Troop Leader
Co-Leader
REGISTRATION OF TROOP MEMBERS
NAME Birth date Gr./Yr Reg. Status BENEFICIARY
(Last Name, First Name, M.I.) 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

COUNCIL ACTION REMITTANCE
A. GSP Membership Fee Troop Number
Girls Re-Reg. New ₱ No. of cards issued:
Leader Re-Reg. New ₱ Girls: From_________to_________Adult: From_________to_______
co-Leader Re-Reg. New ₱ ID Card Series Year: ____________ID Card Series Year:___________
TROOP FEE (To be Retained by Council) ₱ 7.50
B. Program Development Fund ₱ Processed by:
C. Contribution to the Mutual Assistance Fund ₱
D. GS Magazine Troop Subscrition Fee ₱ Registration Processor Date
Total Remittance ₱ Approved by:
ROR No._____________ Date DCCR NO.
DATE OF DEPOSIT BRANCH CODE Council Executive Date
 GIRL SCOUTS OF THE PHILIPPINES Twinkler 4-6 years old/Pre-School
NATIONAL HEADQUARTERS Star 6-9 years old/Grades I-III
901 Padre Faura St., Ermita, Manila Junior 9-12 years old/Grades IV-VI
TROOP REGISTRATION FORM Senior 12-16 years old/High School
Cadet 16-21 years old/College
___ _VI_______Region
____ILOILO____Council
Troop Name (Flower) Age Level
Troop Address (School) Sponsoring Group
Troop Tel. No./CP 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
POSITION T/NT REG. STATUS NAME (Last, First, M.I.) BIRTHDATE BENEFICIARY
Troop Leader OLD NEW

Co-Leader
REGISTRATION OF TROOP MEMBERS
NAME Birth date Gr./Yr Reg. Status BENEFICIARY
(Last Name, First Name, M.I.) 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

COUNCIL ACTION REMITTANCE
A. GSP Membership Fee Troop Number
Girls Re-Reg. New ₱ No. of cards issued:
Leader Re-Reg. New ₱ Girls: From_________to_________Adult: From_________to______
co-Leader Re-Reg. New ₱ ID Card Series Year: ____________ID Card Series Year:___________
TROOP FEE (To be Retained by Council) ₱ 7.50
B. Program Development Fund ₱ Processed by:
C. Contribution to the Mutual Assistance Fund ₱
D. GS Magazine Troop Subscrition Fee ₱ Registration Processor Date
Total Remittance ₱ Approved by:
 ROR No.________________ Date DCCR NO.
DATE OF DEPOSIT BRANCH CODE Council Executive Date
 GIRL SCOUTS OF THE PHILIPPINES
NATIONAL HEADQUARTERS
901 Padre Faura St., Ermita, Manila
BARANGAY COMMITTEE REGISTRATION FORM

___ _VI_______Region
____ILOILO____Council

Barangay Committee Name:__________________________ District Committee Number:__________________________

Barangay Committee Address:_______________________ District Committee Address:__________________________
Tel. No.:________________________________________ Tel. No.:__________________________________________

Registration Status: Re-reg New

Name BIRTHDATE REG. STATUS

Position Beneficiary
(Last Name, First Name, M.) (MM/DD/YY) Re-regNew
1. Chairman
2. Vice-Chairman
3. Secretary
4. Treasurer
5. Member
6. Member
7. Member
8. Member
9. Member
10. Member
11. Member
12. Member
Submitted by: Processed by:
__________ __________
BC Chairman Date Registration Processor Date

COUNCIL ACTION REMITTANCE

Members:____Re-reg.____New…….…….…...…..P Approved by:
Program dev't Fund……………...…...…..………...….P
Contribution to the Mutual Assisyance Fund...P 22.5 __________
Total Remittance..…………P Council Executive Date

B.C. Group Fee(To be retained by Council)………P

Paid under R.O.R. No._________________Date
DCCR No.__________________Date of Deposit
Branch Code

No. of Cards Issued: From_____________to______________

ID Card Series Year:_______________
______
______
______
 GIRL SCOUTS OF THE PHILIPPINES
GSP-MEMBERSHIP MUTUAL ASSISTANCE FUND (MMAF)
FINANCIAL ASSISTANCE REQUEST FORM (FARF)

Council _________________________ Region _____________________Date Received at the Council ____________

Instructions: TYPE OF FINANCIAL ASSISTANCE WITH CORRESPONDING REQUIREMENTS

1. kindly fill up this form completely MEDICAL/HOSPITAL
and accurately. Death Certificate with reg. REIMBURSEMENT
No. and Official Seal of the Medical Certificate
2.Submit this form to GSP-NHQ Local Civil Registrar's Office Original Copy of medical billd and
together with the complete required Supplementary Medical Official Receipts(OR)
documents (original/certified true Report/Hospital Duly Signed Doctor's Prescription
copies) within (60) DAYS after the Record/Police Report of medications purchased per OR/
accident/incident. Supplementary Medical Sales Invoice submitted
Original Laboratory and X-ray
3. Attach copy of the Registration RAPE findings
Form with acknowledgement receipt NBI or PNP Medico Legal Police Report/Blotter for Vehicular
Report or Ponong accident
4. Please check the type of financial Barangay Report
assistance Medical Certificate

Name of Member:_____________________________________________Birthdate: Age:

Girl (Age Level)/ Adult (Type of Affliation)_________________________ Name of School:
Residence:_____________________________________________________________
Date of Incident/Accident_______________________________________Place of Incident/accident:________________
Description of Incident/Accident______________________________________________________

CERTIFICATION/VALIDATION SUBSCRIBE AND SWORN TO

OF MEMBERSHIP
______________________is registered We declare under the penalties of perjury, that this Financial Assistance
(Name) request from the GSP-Membership Mutual Assistance Fund was made in
member of ____________Council from good faith ad the contents thereof are verified true and correct to the best of our
____________Region. She was knowledgement and belief, pursuant to the guidelines of the GSp-Membership
registered on ______________under mutual Assistance Fund.
registration Form-Number___________,
Series_______with Acknowledgement Marie Claire E. Laru-an
Receipt (AR) No. ______________. Applicant Council Executive
(Signature over printed name)
Date: _________________ Date: _________________
Marie Claire E. Laru-an
Council Executive Attested By: JOSEFA LUZ C. DE LEON Date: _________________
Council President

VALIDATION OF MEMBERSHIP DATA Recommendation:

Approved Amount: ________________________
Date Received at the NHQ: ____________
Type of Membership/Age Level: _______ Disaproved Reason: _________________________
A.R Number: _______________________
A.R Date; _________________________ Request for additional documents: __________________________________________
Date Registration Form Received_____________________________________________________________________________
Remarks: ______________________________________________________________________
_________________________________ Upon completion of the required documents:
_________________________________ Approved Amount __________________ Date
Validated By:__________Date:_______ Processed and Computed by: ________ Date
______
_____
_____
 GIRL SCOUTS OF THE PHILIPPINES
NATIONAL HEADQUARTERS
901 Padre Faura St., Ermita, Manila
DISTRICT COMMITTEE REGISTRATION FORM

___ _VI_______Region
____ILOILO____Council

Barangay Committee Name:__________________________ District Committee Number:__________________________

Barangay Committee Address:_______________________ District Committee Address:__________________________
Tel. No.:________________________________________ Tel. No.:__________________________________________

Registration Status: Re-reg New

Name BIRTHDATE REG. STATUS

Position Group Beneficiary
(Last Name, First Name, M.) (MM/DD/YY) Re-regNew
Chairman
Vice-Chairman
Secretary
Treasurer
Dist. Commissioner
Troop Organizer
Program Officer
DFA
Member
Member
Member
Member
Member
Member
Member
Member
Member
Submitted by: Processed by:
__________ __________
BC Chairman Date Registration Processor Date

COUNCIL ACTION REMITTANCE

Members:____Re-reg.____New…….…….…...…..P Approved by:
Program dev't Fund……………...…...…..………...….P
Contribution to the Mutual Assisyance Fund...P 22.5 __________
Total Remittance..…………P Council Executive Date

B.C. Group Fee(To be retained by Council)………P

Paid under R.O.R. No._________________Date
DCCR No.__________________Date of Deposit
Branch Code

No. of Cards Issued: From_____________to______________

ID Card Series Year:_______________
____
____
____