BSP Form No. 17 (Rev.

07-24-12)

BOY SCOUTS OF THE PHILIPPINES

NATIONAL OFFICE
Manila
MERIT BADGE APPLICATION

JANUARY 4,2021
Date ____________________________
(Date of Merit Badge Application is applied for)

KENLY MICHAEL O. SADIASA

I, ____________________________________________________________ hereby certify that I have been a holder
(Scout’s complete name in block letters)

the __________________________________
TENDERFOOT since ___________________________________
JULY 31,2021 that I am a member of
(Present Scout Rank/Badge) (Date passed the Board of Review)
399
_______________________, _____________________________________
ILOCOS SUR NATIONAL HIGH SCHOOL , _____________________________Council
ILOCOS SUR
(Troop / Outfit No.) (Sponsoring Institution)
SAFETY
and that I am qualified to work on the requirements for the ____________________________________ Merit Badge.

KENLY MICHAEL O. SADIASA

_____________________________________
(Signature over Printed Name)
APPROVED:
______________________________________________
(Signature over Printed Name of Troop Leader / Outfit Advisor)
NOTE: Upon signing this Merit Badge Application, the Troop Leader /Outfit Advisor recommends and sets an appointment with an
accredited/certified Merit Badge Counselor on specified dates of Merit Badge Counseling/Examination.

MERIT BADGE COUNSELING APPOINTMENT

Merit Badge Requirements / Projects Troop Leader/ Merit Badge Counselor

Submitted and Completed Outfit Signature
Date of 1st Meeting: Advisor

Date of 2nd Meeting:

Date of 3rd Meeting:

(Optional when
requirements are NOT
satisfied during the
2nd Meeting)
NOTE: This portion MUST filled-out by the Scout who appears before the Merit Badge Counseling/Examination and MUST be signed
by the Troop Leader / Outfit Advisor and the Merit Badge Counselor as proof of completion for Merit Badge requirements.

MERIT BADGE COUNSELOR’S COMPLETION CERTIFICATE

THIS IS TO CERTIFY that the above-named Scout personally appeared before the undersigned and that after a careful
examination of said Scout on the subject, has satisfactorily passed the test for ___________________________________
(Merit Badge Subject)

MAY 6, 2021
_________________________________ ______________________________________________
(Date Passed the Merit Badge Requirements) (Signature over Printed Name of Merit Badge Counselor)
NOTE: Do not examine Scout unless application is approved by the Troop Leader / Outfit Advisor. Only certified Advancement
Counselors are authorized to sign his certificate.
BSP Form No. 17 (Rev. 07-24-12)

BOY SCOUTS OF THE PHILIPPINES

NATIONAL OFFICE
Manila
MERIT BADGE APPLICATION

JANUARY 17, 2021

Date ____________________________
(Date of Merit Badge Application is applied for)

KENLY MICHAEL O. SADIASA

I, ____________________________________________________________ hereby certify that I have been a holder
(Scout’s complete name in block letters)

the __________________________________
TENDERFOOT since ___________________________________
JULY 31,2021 that I am a member of
(Present Scout Rank/Badge) (Date passed the Board of Review)
399
_______________________, _____________________________________
ILOCOS SUR NATIONAL HIGH SCHOOL , _____________________________Council
ILOCOS SUR
(Troop / Outfit No.) (Sponsoring Institution)
CITIZENSHIP AT HOME
and that I am qualified to work on the requirements for the ____________________________________ Merit Badge.

KENLY MICHAEL O. SADIASA

_____________________________________
(Signature over Printed Name)
APPROVED:
______________________________________________
(Signature over Printed Name of Troop Leader / Outfit Advisor)
NOTE: Upon signing this Merit Badge Application, the Troop Leader /Outfit Advisor recommends and sets an appointment with an
accredited/certified Merit Badge Counselor on specified dates of Merit Badge Counseling/Examination.

MERIT BADGE COUNSELING APPOINTMENT

Merit Badge Requirements / Projects Troop Leader/ Merit Badge Counselor

Submitted and Completed Outfit Signature
Date of 1st Meeting: Advisor

Date of 2nd Meeting:

Date of 3rd Meeting:

(Optional when
requirements are NOT
satisfied during the
2nd Meeting)
NOTE: This portion MUST filled-out by the Scout who appears before the Merit Badge Counseling/Examination and MUST be signed
by the Troop Leader / Outfit Advisor and the Merit Badge Counselor as proof of completion for Merit Badge requirements.

MERIT BADGE COUNSELOR’S COMPLETION CERTIFICATE

THIS IS TO CERTIFY that the above-named Scout personally appeared before the undersigned and that after a careful
examination of said Scout on the subject, has satisfactorily passed the test for ___________________________________
(Merit Badge Subject)

JULY 23, 2021

_________________________________ ______________________________________________
(Date Passed the Merit Badge Requirements) (Signature over Printed Name of Merit Badge Counselor)
NOTE: Do not examine Scout unless application is approved by the Troop Leader / Outfit Advisor. Only certified Advancement
Counselors are authorized to sign his certificate.
BSP Form No. 17 (Rev. 07-24-12)

BOY SCOUTS OF THE PHILIPPINES

NATIONAL OFFICE
Manila
MERIT BADGE APPLICATION

AUGUST 13, 2021

Date ____________________________
(Date of Merit Badge Application is applied for)

KENLY MICHAEL O. SADIASA

I, ____________________________________________________________ hereby certify that I have been a holder
(Scout’s complete name in block letters)

the __________________________________
SECOND CLASS since ___________________________________
MAY 29,2022 that I am a member of
(Present Scout Rank/Badge) (Date passed the Board of Review)
399
_______________________, _____________________________________
ILOCOS SUR NATIONAL HIGH SCHOOL , _____________________________Council
ILOCOS SUR
(Troop / Outfit No.) (Sponsoring Institution)
CITIZENSHIP IN THE COMMUNITY Merit Badge.
and that I am qualified to work on the requirements for the ____________________________________

KENLY MICHAEL O. SADIASA

_____________________________________
(Signature over Printed Name)
APPROVED:
______________________________________________
(Signature over Printed Name of Troop Leader / Outfit Advisor)
NOTE: Upon signing this Merit Badge Application, the Troop Leader /Outfit Advisor recommends and sets an appointment with an
accredited/certified Merit Badge Counselor on specified dates of Merit Badge Counseling/Examination.

MERIT BADGE COUNSELING APPOINTMENT

Merit Badge Requirements / Projects Troop Leader/ Merit Badge Counselor

Submitted and Completed Outfit Signature
Date of 1st Meeting: Advisor

Date of 2nd Meeting:

Date of 3rd Meeting:

(Optional when
requirements are NOT
satisfied during the
2nd Meeting)
NOTE: This portion MUST filled-out by the Scout who appears before the Merit Badge Counseling/Examination and MUST be signed
by the Troop Leader / Outfit Advisor and the Merit Badge Counselor as proof of completion for Merit Badge requirements.

MERIT BADGE COUNSELOR’S COMPLETION CERTIFICATE

THIS IS TO CERTIFY that the above-named Scout personally appeared before the undersigned and that after a careful
examination of said Scout on the subject, has satisfactorily passed the test for ___________________________________
(Merit Badge Subject)

OCTOBER 23, 2021

_________________________________ ______________________________________________
(Date Passed the Merit Badge Requirements) (Signature over Printed Name of Merit Badge Counselor)
NOTE: Do not examine Scout unless application is approved by the Troop Leader / Outfit Advisor. Only certified Advancement
Counselors are authorized to sign his certificate.
BSP Form No. 17 (Rev. 07-24-12)

BOY SCOUTS OF THE PHILIPPINES

NATIONAL OFFICE
Manila
MERIT BADGE APPLICATION

DECEMBER 21, 2021

Date ____________________________
(Date of Merit Badge Application is applied for)

KENLY MICHAEL O. SADIASA

I, ____________________________________________________________ hereby certify that I have been a holder
(Scout’s complete name in block letters)

the __________________________________
SECOND CLASS since ___________________________________
MAY 29,2022 that I am a member of
(Present Scout Rank/Badge) (Date passed the Board of Review)
399
_______________________, _____________________________________
ILOCOS SUR NATIONAL HIGH SCHOOL , _____________________________Council
ILOCOS SUR
(Troop / Outfit No.) (Sponsoring Institution)
FIRST AID
and that I am qualified to work on the requirements for the ____________________________________ Merit

Badge.
KENLY MICHAEL O. SADIASA
_____________________________________
(Signature over Printed Name)
APPROVED:
______________________________________________
(Signature over Printed Name of Troop Leader / Outfit Advisor)
NOTE: Upon signing this Merit Badge Application, the Troop Leader /Outfit Advisor recommends and sets an appointment with an
accredited/certified Merit Badge Counselor on specified dates of Merit Badge Counseling/Examination.

MERIT BADGE COUNSELING APPOINTMENT

Merit Badge Requirements / Projects Troop Leader/ Merit Badge Counselor

Submitted and Completed Outfit Signature
Date of 1st Meeting: Advisor

Date of 2nd Meeting:

Date of 3rd Meeting:

(Optional when
requirements are NOT
satisfied during the
2nd Meeting)
NOTE: This portion MUST filled-out by the Scout who appears before the Merit Badge Counseling/Examination and MUST be signed
by the Troop Leader / Outfit Advisor and the Merit Badge Counselor as proof of completion for Merit Badge requirements.

MERIT BADGE COUNSELOR’S COMPLETION CERTIFICATE

THIS IS TO CERTIFY that the above-named Scout personally appeared before the undersigned and that after a careful
examination of said Scout on the subject, has satisfactorily passed the test for ___________________________________
(Merit Badge Subject)

FEBRUARY 26, 2022

_________________________________ ______________________________________________
(Date Passed the Merit Badge Requirements) (Signature over Printed Name of Merit Badge Counselor)
NOTE: Do not examine Scout unless application is approved by the Troop Leader / Outfit Advisor. Only certified Advancement
Counselors are authorized to sign his certificate.
BSP Form No. 17 (Rev. 07-24-12)

BOY SCOUTS OF THE PHILIPPINES

NATIONAL OFFICE
Manila
MERIT BADGE APPLICATION

OCTOBER 25, 2021

Date ____________________________
(Date of Merit Badge Application is applied for)

KENLY MICHAEL O. SADIASA

I, ____________________________________________________________ hereby certify that I have been a holder
(Scout’s complete name in block letters)

the __________________________________
SECOND CLASS since ___________________________________
MAY 29,2022 that I am a member of
(Present Scout Rank/Badge) (Date passed the Board of Review)
399
_______________________, _____________________________________
ILOCOS SUR NATIONAL HIGH SCHOOL , _____________________________Council
ILOCOS SUR
(Troop / Outfit No.) (Sponsoring Institution)
FILIPINO HERITAGE
and that I am qualified to work on the requirements for the ____________________________________ Merit

Badge.
KENLY MICHAEL O. SADIASA
_____________________________________
(Signature over Printed Name)
APPROVED:
______________________________________________
(Signature over Printed Name of Troop Leader / Outfit Advisor)
NOTE: Upon signing this Merit Badge Application, the Troop Leader /Outfit Advisor recommends and sets an appointment with an
accredited/certified Merit Badge Counselor on specified dates of Merit Badge Counseling/Examination.

MERIT BADGE COUNSELING APPOINTMENT

Merit Badge Requirements / Projects Troop Leader/ Merit Badge Counselor

Submitted and Completed Outfit Signature
Date of 1st Meeting: Advisor

Date of 2nd Meeting:

Date of 3rd Meeting:

(Optional when
requirements are NOT
satisfied during the
2nd Meeting)
NOTE: This portion MUST filled-out by the Scout who appears before the Merit Badge Counseling/Examination and MUST be signed
by the Troop Leader / Outfit Advisor and the Merit Badge Counselor as proof of completion for Merit Badge requirements.

MERIT BADGE COUNSELOR’S COMPLETION CERTIFICATE

THIS IS TO CERTIFY that the above-named Scout personally appeared before the undersigned and that after a careful
examination of said Scout on the subject, has satisfactorily passed the test for ___________________________________
(Merit Badge Subject)

DECEMBER 10, 2021

_________________________________ ______________________________________________
(Date Passed the Merit Badge Requirements) (Signature over Printed Name of Merit Badge Counselor)
NOTE: Do not examine Scout unless application is approved by the Troop Leader / Outfit Advisor. Only certified Advancement
Counselors are authorized to sign his certificate.
BSP Form No. 17 (Rev. 07-24-12)

BOY SCOUTS OF THE PHILIPPINES

NATIONAL OFFICE
Manila
MERIT BADGE APPLICATION

MARCH 5, 2022
Date ____________________________
(Date of Merit Badge Application is applied for)

KENLY MICHAEL O. SADIASA

I, ____________________________________________________________ hereby certify that I have been a holder
(Scout’s complete name in block letters)

the __________________________________
SECOND CLASS since ___________________________________
MAY 29,2022 that I am a member of
(Present Scout Rank/Badge) (Date passed the Board of Review)
399
_______________________, _____________________________________
ILOCOS SUR NATIONAL HIGH SCHOOL , _____________________________Council
ILOCOS SUR
(Troop / Outfit No.) (Sponsoring Institution)
ECOLOGY or TREE PATERING
and that I am qualified to work on the requirements for the ____________________________________ Merit

Badge.
KENLY MICHAEL O. SADIASA
_____________________________________
(Signature over Printed Name)
APPROVED:
______________________________________________
(Signature over Printed Name of Troop Leader / Outfit Advisor)
NOTE: Upon signing this Merit Badge Application, the Troop Leader /Outfit Advisor recommends and sets an appointment with an
accredited/certified Merit Badge Counselor on specified dates of Merit Badge Counseling/Examination.

MERIT BADGE COUNSELING APPOINTMENT

Merit Badge Requirements / Projects Troop Leader/ Merit Badge Counselor

Submitted and Completed Outfit Signature
Date of 1st Meeting: Advisor

Date of 2nd Meeting:

Date of 3rd Meeting:

(Optional when
requirements are NOT
satisfied during the
2nd Meeting)
NOTE: This portion MUST filled-out by the Scout who appears before the Merit Badge Counseling/Examination and MUST be signed
by the Troop Leader / Outfit Advisor and the Merit Badge Counselor as proof of completion for Merit Badge requirements.

MERIT BADGE COUNSELOR’S COMPLETION CERTIFICATE

THIS IS TO CERTIFY that the above-named Scout personally appeared before the undersigned and that after a careful
examination of said Scout on the subject, has satisfactorily passed the test for ___________________________________
(Merit Badge Subject)

MAY 7, 2022
_________________________________ ______________________________________________
(Date Passed the Merit Badge Requirements) (Signature over Printed Name of Merit Badge Counselor)
NOTE: Do not examine Scout unless application is approved by the Troop Leader / Outfit Advisor. Only certified Advancement
Counselors are authorized to sign his certificate.
BSP Form No. 17 (Rev. 07-24-12)

BOY SCOUTS OF THE PHILIPPINES

NATIONAL OFFICE
Manila
MERIT BADGE APPLICATION

JUNE 13, 2022

Date ____________________________
(Date of Merit Badge Application is applied for)

KENLY MICHAEL O. SADIASA

I, ____________________________________________________________ hereby certify that I have been a holder
(Scout’s complete name in block letters)

the __________________________________
OUTDOORSMAN since ___________________________________
JUNE 24, 2023 that I am a member of
(Present Scout Rank/Badge) (Date passed the Board of Review)
399
_______________________, _____________________________________
ILOCOS SUR NATIONAL HIGH SCHOOL , _____________________________Council
ILOCOS SUR
(Troop / Outfit No.) (Sponsoring Institution)
CITIZENSHIP IN THE NATION
and that I am qualified to work on the requirements for the ____________________________________ Merit

Badge.
KENLY MICHAEL O. SADIASA
_____________________________________
(Signature over Printed Name)
APPROVED:
______________________________________________
(Signature over Printed Name of Troop Leader / Outfit Advisor)
NOTE: Upon signing this Merit Badge Application, the Troop Leader /Outfit Advisor recommends and sets an appointment with an
accredited/certified Merit Badge Counselor on specified dates of Merit Badge Counseling/Examination.

MERIT BADGE COUNSELING APPOINTMENT

Merit Badge Requirements / Projects Troop Leader/ Merit Badge Counselor

Submitted and Completed Outfit Signature
Date of 1st Meeting: Advisor

Date of 2nd Meeting:

Date of 3rd Meeting:

(Optional when
requirements are NOT
satisfied during the
2nd Meeting)
NOTE: This portion MUST filled-out by the Scout who appears before the Merit Badge Counseling/Examination and MUST be signed
by the Troop Leader / Outfit Advisor and the Merit Badge Counselor as proof of completion for Merit Badge requirements.

MERIT BADGE COUNSELOR’S COMPLETION CERTIFICATE

THIS IS TO CERTIFY that the above-named Scout personally appeared before the undersigned and that after a careful
examination of said Scout on the subject, has satisfactorily passed the test for ___________________________________
(Merit Badge Subject)

AUGUST 13, 2022

_________________________________ ______________________________________________
(Date Passed the Merit Badge Requirements) (Signature over Printed Name of Merit Badge Counselor)
NOTE: Do not examine Scout unless application is approved by the Troop Leader / Outfit Advisor. Only certified Advancement
Counselors are authorized to sign his certificate.
BSP Form No. 17 (Rev. 07-24-12)

BOY SCOUTS OF THE PHILIPPINES

NATIONAL OFFICE
Manila
MERIT BADGE APPLICATION

JANUARY 6, 2023
Date ____________________________
(Date of Merit Badge Application is applied for)

KENLY MICHAEL O. SADIASA

I, ____________________________________________________________ hereby certify that I have been a holder
(Scout’s complete name in block letters)

the __________________________________
OUTDOORSMAN since ___________________________________
JUNE 24, 2023 that I am a member of
(Present Scout Rank/Badge) (Date passed the Board of Review)
399
_______________________, _____________________________________
ILOCOS SUR NATIONAL HIGH SCHOOL , _____________________________Council
ILOCOS SUR
(Troop / Outfit No.) (Sponsoring Institution)
PHYSICAL FITNESS
and that I am qualified to work on the requirements for the ____________________________________ Merit

Badge.
KENLY MICHAEL O. SADIASA
_____________________________________
(Signature over Printed Name)
APPROVED:
______________________________________________
(Signature over Printed Name of Troop Leader / Outfit Advisor)
NOTE: Upon signing this Merit Badge Application, the Troop Leader /Outfit Advisor recommends and sets an appointment with an
accredited/certified Merit Badge Counselor on specified dates of Merit Badge Counseling/Examination.

MERIT BADGE COUNSELING APPOINTMENT

Merit Badge Requirements / Projects Troop Leader/ Merit Badge Counselor

Submitted and Completed Outfit Signature
Date of 1st Meeting: Advisor

Date of 2nd Meeting:

Date of 3rd Meeting:

(Optional when
requirements are NOT
satisfied during the
2nd Meeting)
NOTE: This portion MUST filled-out by the Scout who appears before the Merit Badge Counseling/Examination and MUST be signed
by the Troop Leader / Outfit Advisor and the Merit Badge Counselor as proof of completion for Merit Badge requirements.

MERIT BADGE COUNSELOR’S COMPLETION CERTIFICATE

THIS IS TO CERTIFY that the above-named Scout personally appeared before the undersigned and that after a careful
examination of said Scout on the subject, has satisfactorily passed the test for ___________________________________
(Merit Badge Subject)

APRIL 8, 2023
_________________________________ ______________________________________________
(Date Passed the Merit Badge Requirements) (Signature over Printed Name of Merit Badge Counselor)
NOTE: Do not examine Scout unless application is approved by the Troop Leader / Outfit Advisor. Only certified Advancement
Counselors are authorized to sign his certificate.
BSP Form No. 17 (Rev. 07-24-12)

BOY SCOUTS OF THE PHILIPPINES

NATIONAL OFFICE
Manila
MERIT BADGE APPLICATION

AUGUST 15, 2022

Date ____________________________
(Date of Merit Badge Application is applied for)

KENLY MICHAEL O. SADIASA

I, ____________________________________________________________ hereby certify that I have been a holder
(Scout’s complete name in block letters)

the __________________________________
OUTDOORSMAN since ___________________________________
JUNE 24, 2023 that I am a member of
(Present Scout Rank/Badge) (Date passed the Board of Review)
399
_______________________, _____________________________________
ILOCOS SUR NATIONAL HIGH SCHOOL , _____________________________Council
ILOCOS SUR
(Troop / Outfit No.) (Sponsoring Institution)
SWIMMING
and that I am qualified to work on the requirements for the ____________________________________ Merit

Badge.
KENLY MICHAEL O. SADIASA
_____________________________________
(Signature over Printed Name)
APPROVED:
______________________________________________
(Signature over Printed Name of Troop Leader / Outfit Advisor)
NOTE: Upon signing this Merit Badge Application, the Troop Leader /Outfit Advisor recommends and sets an appointment with an
accredited/certified Merit Badge Counselor on specified dates of Merit Badge Counseling/Examination.

MERIT BADGE COUNSELING APPOINTMENT

Merit Badge Requirements / Projects Troop Leader/ Merit Badge Counselor

Submitted and Completed Outfit Signature
Date of 1st Meeting: Advisor

Date of 2nd Meeting:

Date of 3rd Meeting:

(Optional when
requirements are NOT
satisfied during the
2nd Meeting)
NOTE: This portion MUST filled-out by the Scout who appears before the Merit Badge Counseling/Examination and MUST be signed
by the Troop Leader / Outfit Advisor and the Merit Badge Counselor as proof of completion for Merit Badge requirements.

MERIT BADGE COUNSELOR’S COMPLETION CERTIFICATE

THIS IS TO CERTIFY that the above-named Scout personally appeared before the undersigned and that after a careful
examination of said Scout on the subject, has satisfactorily passed the test for ___________________________________
(Merit Badge Subject)

OCTOBER 22, 2022

_________________________________ ______________________________________________
(Date Passed the Merit Badge Requirements) (Signature over Printed Name of Merit Badge Counselor)
NOTE: Do not examine Scout unless application is approved by the Troop Leader / Outfit Advisor. Only certified Advancement
Counselors are authorized to sign his certificate.
BSP Form No. 17 (Rev. 07-24-12)

BOY SCOUTS OF THE PHILIPPINES

NATIONAL OFFICE
Manila
MERIT BADGE APPLICATION

OCTOBER 24, 2022

Date ____________________________
(Date of Merit Badge Application is applied for)

KENLY MICHAEL O. SADIASA

I, ____________________________________________________________ hereby certify that I have been a holder
(Scout’s complete name in block letters)

the __________________________________
OUTDOORSMAN since ___________________________________
JUNE 24, 2023 that I am a member of
(Present Scout Rank/Badge) (Date passed the Board of Review)
399
_______________________, _____________________________________
ILOCOS SUR NATIONAL HIGH SCHOOL , _____________________________Council
ILOCOS SUR
(Troop / Outfit No.) (Sponsoring Institution)
SOIL AND WATER CONSERVATION Merit
and that I am qualified to work on the requirements for the ____________________________________

Badge.
KENLY MICHAEL O. SADIASA
_____________________________________
(Signature over Printed Name)
APPROVED:
______________________________________________
(Signature over Printed Name of Troop Leader / Outfit Advisor)
NOTE: Upon signing this Merit Badge Application, the Troop Leader /Outfit Advisor recommends and sets an appointment with an
accredited/certified Merit Badge Counselor on specified dates of Merit Badge Counseling/Examination.

MERIT BADGE COUNSELING APPOINTMENT

Merit Badge Requirements / Projects Troop Leader/ Merit Badge Counselor

Submitted and Completed Outfit Signature
Date of 1st Meeting: Advisor

Date of 2nd Meeting:

Date of 3rd Meeting:

(Optional when
requirements are NOT
satisfied during the
2nd Meeting)
NOTE: This portion MUST filled-out by the Scout who appears before the Merit Badge Counseling/Examination and MUST be signed
by the Troop Leader / Outfit Advisor and the Merit Badge Counselor as proof of completion for Merit Badge requirements.

MERIT BADGE COUNSELOR’S COMPLETION CERTIFICATE

THIS IS TO CERTIFY that the above-named Scout personally appeared before the undersigned and that after a careful
examination of said Scout on the subject, has satisfactorily passed the test for ___________________________________
(Merit Badge Subject)

DECEMBER 28, 2022

_________________________________ ______________________________________________
(Date Passed the Merit Badge Requirements) (Signature over Printed Name of Merit Badge Counselor)
NOTE: Do not examine Scout unless application is approved by the Troop Leader / Outfit Advisor. Only certified Advancement
Counselors are authorized to sign his certificate.
BSP Form No. 17 (Rev. 07-24-12)

BOY SCOUTS OF THE PHILIPPINES

NATIONAL OFFICE
Manila
MERIT BADGE APPLICATION

APRIL 10, 2023

Date ____________________________
(Date of Merit Badge Application is applied for)

KENLY MICHAEL O. SADIASA

I, ____________________________________________________________ hereby certify that I have been a holder
(Scout’s complete name in block letters)

the __________________________________
OUTDOORSMAN since ___________________________________
JUNE 24, 2023 that I am a member of
(Present Scout Rank/Badge) (Date passed the Board of Review)
399
_______________________, _____________________________________
ILOCOS SUR NATIONAL HIGH SCHOOL , _____________________________Council
ILOCOS SUR
(Troop / Outfit No.) (Sponsoring Institution)
WEATHER
and that I am qualified to work on the requirements for the ____________________________________ Merit

Badge.
KENLY MICHAEL O. SADIASA
_____________________________________
(Signature over Printed Name)
APPROVED:
______________________________________________
(Signature over Printed Name of Troop Leader / Outfit Advisor)
NOTE: Upon signing this Merit Badge Application, the Troop Leader /Outfit Advisor recommends and sets an appointment with an
accredited/certified Merit Badge Counselor on specified dates of Merit Badge Counseling/Examination.

MERIT BADGE COUNSELING APPOINTMENT

Merit Badge Requirements / Projects Troop Leader/ Merit Badge Counselor

Submitted and Completed Outfit Signature
Date of 1st Meeting: Advisor

Date of 2nd Meeting:

Date of 3rd Meeting:

(Optional when
requirements are NOT
satisfied during the
2nd Meeting)
NOTE: This portion MUST filled-out by the Scout who appears before the Merit Badge Counseling/Examination and MUST be signed
by the Troop Leader / Outfit Advisor and the Merit Badge Counselor as proof of completion for Merit Badge requirements.

MERIT BADGE COUNSELOR’S COMPLETION CERTIFICATE

THIS IS TO CERTIFY that the above-named Scout personally appeared before the undersigned and that after a careful
examination of said Scout on the subject, has satisfactorily passed the test for ___________________________________
(Merit Badge Subject)

JUNE 10, 2023

_________________________________ ______________________________________________
(Date Passed the Merit Badge Requirements) (Signature over Printed Name of Merit Badge Counselor)
NOTE: Do not examine Scout unless application is approved by the Troop Leader / Outfit Advisor. Only certified Advancement
Counselors are authorized to sign his certificate.
BSP Form No. 17 (Rev. 07-24-12)

BOY SCOUTS OF THE PHILIPPINES

NATIONAL OFFICE
Manila
MERIT BADGE APPLICATION

JANUARY 9, 2024
Date ____________________________
(Date of Merit Badge Application is applied for)

KENLY MICHAEL O. SADIASA

I, ____________________________________________________________ hereby certify that I have been a holder
(Scout’s complete name in block letters)

the __________________________________
VENTURER since ___________________________________
MARCH 30, 2024 that I am a member of
(Present Scout Rank/Badge) (Date passed the Board of Review)
399
_______________________, _____________________________________
ILOCOS SUR NATIONAL HIGH SCHOOL , _____________________________Council
ILOCOS SUR
(Troop / Outfit No.) (Sponsoring Institution)
EMERGENCY PREPAREDNESS Merit
and that I am qualified to work on the requirements for the ____________________________________

Badge.
KENLY MICHAEL O. SADIASA
_____________________________________
(Signature over Printed Name)
APPROVED:
______________________________________________
(Signature over Printed Name of Troop Leader / Outfit Advisor)
NOTE: Upon signing this Merit Badge Application, the Troop Leader /Outfit Advisor recommends and sets an appointment with an
accredited/certified Merit Badge Counselor on specified dates of Merit Badge Counseling/Examination.

MERIT BADGE COUNSELING APPOINTMENT

Merit Badge Requirements / Projects Troop Leader/ Merit Badge Counselor

Submitted and Completed Outfit Signature
Date of 1st Meeting: Advisor

Date of 2nd Meeting:

Date of 3rd Meeting:

(Optional when
requirements are NOT
satisfied during the
2nd Meeting)
NOTE: This portion MUST filled-out by the Scout who appears before the Merit Badge Counseling/Examination and MUST be signed
by the Troop Leader / Outfit Advisor and the Merit Badge Counselor as proof of completion for Merit Badge requirements.

MERIT BADGE COUNSELOR’S COMPLETION CERTIFICATE

THIS IS TO CERTIFY that the above-named Scout personally appeared before the undersigned and that after a careful
examination of said Scout on the subject, has satisfactorily passed the test for ___________________________________
(Merit Badge Subject)

MARCH 9, 2024
_________________________________ ______________________________________________
(Date Passed the Merit Badge Requirements) (Signature over Printed Name of Merit Badge Counselor)
NOTE: Do not examine Scout unless application is approved by the Troop Leader / Outfit Advisor. Only certified Advancement
Counselors are authorized to sign his certificate.
BSP Form No. 17 (Rev. 07-24-12)

BOY SCOUTS OF THE PHILIPPINES

NATIONAL OFFICE
Manila
MERIT BADGE APPLICATION

APRIL 22, 2023

Date ____________________________
(Date of Merit Badge Application is applied for)

KENLY MICHAEL O. SADIASA

I, ____________________________________________________________ hereby certify that I have been a holder
(Scout’s complete name in block letters)

the __________________________________
VENTURER since ___________________________________
MARCH 30, 2024 that I am a member of
(Present Scout Rank/Badge) (Date passed the Board of Review)
399
_______________________, _____________________________________
ILOCOS SUR NATIONAL HIGH SCHOOL , _____________________________Council
ILOCOS SUR
(Troop / Outfit No.) (Sponsoring Institution)
CAMPING
and that I am qualified to work on the requirements for the ____________________________________ Merit

Badge.
KENLY MICHAEL O. SADIASA
_____________________________________
(Signature over Printed Name)
APPROVED:
______________________________________________
(Signature over Printed Name of Troop Leader / Outfit Advisor)
NOTE: Upon signing this Merit Badge Application, the Troop Leader /Outfit Advisor recommends and sets an appointment with an
accredited/certified Merit Badge Counselor on specified dates of Merit Badge Counseling/Examination.

MERIT BADGE COUNSELING APPOINTMENT

Merit Badge Requirements / Projects Troop Leader/ Merit Badge Counselor

Submitted and Completed Outfit Signature
Date of 1st Meeting: Advisor

Date of 2nd Meeting:

Date of 3rd Meeting:

(Optional when
requirements are NOT
satisfied during the
2nd Meeting)
NOTE: This portion MUST filled-out by the Scout who appears before the Merit Badge Counseling/Examination and MUST be signed
by the Troop Leader / Outfit Advisor and the Merit Badge Counselor as proof of completion for Merit Badge requirements.

MERIT BADGE COUNSELOR’S COMPLETION CERTIFICATE

THIS IS TO CERTIFY that the above-named Scout personally appeared before the undersigned and that after a careful
examination of said Scout on the subject, has satisfactorily passed the test for ___________________________________
(Merit Badge Subject)

DECEMBER 22, 2023

_________________________________ ______________________________________________
(Date Passed the Merit Badge Requirements) (Signature over Printed Name of Merit Badge Counselor)
NOTE: Do not examine Scout unless application is approved by the Troop Leader / Outfit Advisor. Only certified Advancement
Counselors are authorized to sign his certificate.
BSP Form No. 17 (Rev. 07-24-12)

BOY SCOUTS OF THE PHILIPPINES

NATIONAL OFFICE
Manila
MERIT BADGE APPLICATION

JULY 1, 2023
Date ____________________________
(Date of Merit Badge Application is applied for)

KENLY MICHAEL O. SADIASA

I, ____________________________________________________________ hereby certify that I have been a holder
(Scout’s complete name in block letters)

the __________________________________
VENTURER since ___________________________________
MARCH 30, 2024 that I am a member of
(Present Scout Rank/Badge) (Date passed the Board of Review)
399
_______________________, _____________________________________
ILOCOS SUR NATIONAL HIGH SCHOOL , _____________________________Council
ILOCOS SUR
(Troop / Outfit No.) (Sponsoring Institution)
HIKING
and that I am qualified to work on the requirements for the ____________________________________ Merit

Badge.
KENLY MICHAEL O. SADIASA
_____________________________________
(Signature over Printed Name)
APPROVED:
______________________________________________
(Signature over Printed Name of Troop Leader / Outfit Advisor)
NOTE: Upon signing this Merit Badge Application, the Troop Leader /Outfit Advisor recommends and sets an appointment with an
accredited/certified Merit Badge Counselor on specified dates of Merit Badge Counseling/Examination.

MERIT BADGE COUNSELING APPOINTMENT

Merit Badge Requirements / Projects Troop Leader/ Merit Badge Counselor

Submitted and Completed Outfit Signature
Date of 1st Meeting: Advisor

Date of 2nd Meeting:

Date of 3rd Meeting:

(Optional when
requirements are NOT
satisfied during the
2nd Meeting)
NOTE: This portion MUST filled-out by the Scout who appears before the Merit Badge Counseling/Examination and MUST be signed
by the Troop Leader / Outfit Advisor and the Merit Badge Counselor as proof of completion for Merit Badge requirements.

MERIT BADGE COUNSELOR’S COMPLETION CERTIFICATE

THIS IS TO CERTIFY that the above-named Scout personally appeared before the undersigned and that after a careful
examination of said Scout on the subject, has satisfactorily passed the test for ___________________________________
(Merit Badge Subject)

FEBRUARY 3, 2024
_________________________________ ______________________________________________
(Date Passed the Merit Badge Requirements) (Signature over Printed Name of Merit Badge Counselor)
NOTE: Do not examine Scout unless application is approved by the Troop Leader / Outfit Advisor. Only certified Advancement
Counselors are authorized to sign his certificate.
BSP Form No. 17 (Rev. 07-24-12)

BOY SCOUTS OF THE PHILIPPINES

NATIONAL OFFICE
Manila
MERIT BADGE APPLICATION

SEPTEMBER 4, 2023
Date ____________________________
(Date of Merit Badge Application is applied for)

KENLY MICHAEL O. SADIASA

I, ____________________________________________________________ hereby certify that I have been a holder
(Scout’s complete name in block letters)

the __________________________________
VENTURER since ___________________________________
MARCH 30, 2024 that I am a member of
(Present Scout Rank/Badge) (Date passed the Board of Review)
399
_______________________, _____________________________________
ILOCOS SUR NATIONAL HIGH SCHOOL , _____________________________Council
ILOCOS SUR
(Troop / Outfit No.) (Sponsoring Institution)
CYCLING
and that I am qualified to work on the requirements for the ____________________________________ Merit

Badge.
KENLY MICHAEL O. SADIASA
_____________________________________
(Signature over Printed Name)
APPROVED:
______________________________________________
(Signature over Printed Name of Troop Leader / Outfit Advisor)
NOTE: Upon signing this Merit Badge Application, the Troop Leader /Outfit Advisor recommends and sets an appointment with an
accredited/certified Merit Badge Counselor on specified dates of Merit Badge Counseling/Examination.

MERIT BADGE COUNSELING APPOINTMENT

Merit Badge Requirements / Projects Troop Leader/ Merit Badge Counselor

Submitted and Completed Outfit Signature
Date of 1st Meeting: Advisor

Date of 2nd Meeting:

Date of 3rd Meeting:

(Optional when
requirements are NOT
satisfied during the
2nd Meeting)
NOTE: This portion MUST filled-out by the Scout who appears before the Merit Badge Counseling/Examination and MUST be signed
by the Troop Leader / Outfit Advisor and the Merit Badge Counselor as proof of completion for Merit Badge requirements.

MERIT BADGE COUNSELOR’S COMPLETION CERTIFICATE

THIS IS TO CERTIFY that the above-named Scout personally appeared before the undersigned and that after a careful
examination of said Scout on the subject, has satisfactorily passed the test for ___________________________________
(Merit Badge Subject)

DECEMBER 9, 2023
_________________________________ ______________________________________________
(Date Passed the Merit Badge Requirements) (Signature over Printed Name of Merit Badge Counselor)
NOTE: Do not examine Scout unless application is approved by the Troop Leader / Outfit Advisor. Only certified Advancement
Counselors are authorized to sign his certificate.
BSP Form No. 17 (Rev. 07-24-12)

BOY SCOUTS OF THE PHILIPPINES

NATIONAL OFFICE
Manila
MERIT BADGE APPLICATION

AUGUST 5, 2023
Date ____________________________
(Date of Merit Badge Application is applied for)

KENLY MICHAEL O. SADIASA

I, ____________________________________________________________ hereby certify that I have been a holder
(Scout’s complete name in block letters)

the __________________________________
VENTURER since ___________________________________
MARCH 30, 2024 that I am a member of
(Present Scout Rank/Badge) (Date passed the Board of Review)
399
_______________________, _____________________________________
ILOCOS SUR NATIONAL HIGH SCHOOL , _____________________________Council
ILOCOS SUR
(Troop / Outfit No.) (Sponsoring Institution)
ARCHERY
and that I am qualified to work on the requirements for the ____________________________________ Merit

Badge.
KENLY MICHAEL O. SADIASA
_____________________________________
(Signature over Printed Name)
APPROVED:
______________________________________________
(Signature over Printed Name of Troop Leader / Outfit Advisor)
NOTE: Upon signing this Merit Badge Application, the Troop Leader /Outfit Advisor recommends and sets an appointment with an
accredited/certified Merit Badge Counselor on specified dates of Merit Badge Counseling/Examination.

MERIT BADGE COUNSELING APPOINTMENT

Merit Badge Requirements / Projects Troop Leader/ Merit Badge Counselor

Submitted and Completed Outfit Signature
Date of 1st Meeting: Advisor

Date of 2nd Meeting:

Date of 3rd Meeting:

(Optional when
requirements are NOT
satisfied during the
2nd Meeting)
NOTE: This portion MUST filled-out by the Scout who appears before the Merit Badge Counseling/Examination and MUST be signed
by the Troop Leader / Outfit Advisor and the Merit Badge Counselor as proof of completion for Merit Badge requirements.

MERIT BADGE COUNSELOR’S COMPLETION CERTIFICATE

THIS IS TO CERTIFY that the above-named Scout personally appeared before the undersigned and that after a careful
examination of said Scout on the subject, has satisfactorily passed the test for ___________________________________
(Merit Badge Subject)

SEPTEMBER 23, 2023

_________________________________ ______________________________________________
(Date Passed the Merit Badge Requirements) (Signature over Printed Name of Merit Badge Counselor)
NOTE: Do not examine Scout unless application is approved by the Troop Leader / Outfit Advisor. Only certified Advancement
Counselors are authorized to sign his certificate.
BSP Form No. 17 (Rev. 07-24-12)

BOY SCOUTS OF THE PHILIPPINES

NATIONAL OFFICE
Manila
MERIT BADGE APPLICATION

DECEMBER 11, 2024

Date ____________________________
(Date of Merit Badge Application is applied for)

KENLY MICHAEL O. SADIASA

I, ____________________________________________________________ hereby certify that I have been a holder
(Scout’s complete name in block letters)

the __________________________________
EAGLE SCOUT since ___________________________________
FEBRUARY 28 2025 that I am a member of
(Present Scout Rank/Badge) (Date passed the Board of Review)
399
_______________________, _____________________________________
ILOCOS SUR NATIONAL HIGH SCHOOL , _____________________________Council
ILOCOS SUR
(Troop / Outfit No.) (Sponsoring Institution)
LIFE SAVING
and that I am qualified to work on the requirements for the ____________________________________ Merit

Badge.
KENLY MICHAEL O. SADIASA
_____________________________________
(Signature over Printed Name)
APPROVED:
______________________________________________
(Signature over Printed Name of Troop Leader / Outfit Advisor)
NOTE: Upon signing this Merit Badge Application, the Troop Leader /Outfit Advisor recommends and sets an appointment with an
accredited/certified Merit Badge Counselor on specified dates of Merit Badge Counseling/Examination.

MERIT BADGE COUNSELING APPOINTMENT

Merit Badge Requirements / Projects Troop Leader/ Merit Badge Counselor

Submitted and Completed Outfit Signature
Date of 1st Meeting: Advisor

Date of 2nd Meeting:

Date of 3rd Meeting:

(Optional when
requirements are NOT
satisfied during the
2nd Meeting)
NOTE: This portion MUST filled-out by the Scout who appears before the Merit Badge Counseling/Examination and MUST be signed
by the Troop Leader / Outfit Advisor and the Merit Badge Counselor as proof of completion for Merit Badge requirements.

MERIT BADGE COUNSELOR’S COMPLETION CERTIFICATE

THIS IS TO CERTIFY that the above-named Scout personally appeared before the undersigned and that after a careful
examination of said Scout on the subject, has satisfactorily passed the test for ___________________________________
(Merit Badge Subject)

FEBRURARY 15, 2025

_________________________________ ______________________________________________
(Date Passed the Merit Badge Requirements) (Signature over Printed Name of Merit Badge Counselor)
NOTE: Do not examine Scout unless application is approved by the Troop Leader / Outfit Advisor. Only certified Advancement
Counselors are authorized to sign his certificate.
BSP Form No. 17 (Rev. 07-24-12)

BOY SCOUTS OF THE PHILIPPINES

NATIONAL OFFICE
Manila
MERIT BADGE APPLICATION

APRIL 8, 2024
Date ____________________________
(Date of Merit Badge Application is applied for)

KENLY MICHAEL O. SADIASA

I, ____________________________________________________________ hereby certify that I have been a holder
(Scout’s complete name in block letters)

the __________________________________
EAGLE SCOUT since ___________________________________
FEBRUARY 28 2025 that I am a member of
(Present Scout Rank/Badge) (Date passed the Board of Review)
399
_______________________, _____________________________________
ILOCOS SUR NATIONAL HIGH SCHOOL , _____________________________Council
ILOCOS SUR
(Troop / Outfit No.) (Sponsoring Institution)
WORLD BROTHERHOOD
and that I am qualified to work on the requirements for the ____________________________________ Merit

Badge.
KENLY MICHAEL O. SADIASA
_____________________________________
(Signature over Printed Name)
APPROVED:
______________________________________________
(Signature over Printed Name of Troop Leader / Outfit Advisor)
NOTE: Upon signing this Merit Badge Application, the Troop Leader /Outfit Advisor recommends and sets an appointment with an
accredited/certified Merit Badge Counselor on specified dates of Merit Badge Counseling/Examination.

MERIT BADGE COUNSELING APPOINTMENT

Merit Badge Requirements / Projects Troop Leader/ Merit Badge Counselor

Submitted and Completed Outfit Signature
Date of 1st Meeting: Advisor

Date of 2nd Meeting:

Date of 3rd Meeting:

(Optional when
requirements are NOT
satisfied during the
2nd Meeting)
NOTE: This portion MUST filled-out by the Scout who appears before the Merit Badge Counseling/Examination and MUST be signed
by the Troop Leader / Outfit Advisor and the Merit Badge Counselor as proof of completion for Merit Badge requirements.

MERIT BADGE COUNSELOR’S COMPLETION CERTIFICATE

THIS IS TO CERTIFY that the above-named Scout personally appeared before the undersigned and that after a careful
examination of said Scout on the subject, has satisfactorily passed the test for ___________________________________
(Merit Badge Subject)

JANUARY 25, 2025

_________________________________ ______________________________________________
(Date Passed the Merit Badge Requirements) (Signature over Printed Name of Merit Badge Counselor)
NOTE: Do not examine Scout unless application is approved by the Troop Leader / Outfit Advisor. Only certified Advancement
Counselors are authorized to sign his certificate.
BSP Form No. 17 (Rev. 07-24-12)

BOY SCOUTS OF THE PHILIPPINES

NATIONAL OFFICE
Manila
MERIT BADGE APPLICATION

MAY 4, 2024
Date ____________________________
(Date of Merit Badge Application is applied for)

KENLY MICHAEL O. SADIASA

I, ____________________________________________________________ hereby certify that I have been a holder
(Scout’s complete name in block letters)

the __________________________________
EAGLE SCOUT since ___________________________________
FEBRUARY 28 2025 that I am a member of
(Present Scout Rank/Badge) (Date passed the Board of Review)
399
_______________________, _____________________________________
ILOCOS SUR NATIONAL HIGH SCHOOL , _____________________________Council
ILOCOS SUR
(Troop / Outfit No.) (Sponsoring Institution)
JOURNALISM
and that I am qualified to work on the requirements for the ____________________________________ Merit

Badge.
KENLY MICHAEL O. SADIASA
_____________________________________
(Signature over Printed Name)
APPROVED:
______________________________________________
(Signature over Printed Name of Troop Leader / Outfit Advisor)
NOTE: Upon signing this Merit Badge Application, the Troop Leader /Outfit Advisor recommends and sets an appointment with an
accredited/certified Merit Badge Counselor on specified dates of Merit Badge Counseling/Examination.

MERIT BADGE COUNSELING APPOINTMENT

Merit Badge Requirements / Projects Troop Leader/ Merit Badge Counselor

Submitted and Completed Outfit Signature
Date of 1st Meeting: Advisor

Date of 2nd Meeting:

Date of 3rd Meeting:

(Optional when
requirements are NOT
satisfied during the
2nd Meeting)
NOTE: This portion MUST filled-out by the Scout who appears before the Merit Badge Counseling/Examination and MUST be signed
by the Troop Leader / Outfit Advisor and the Merit Badge Counselor as proof of completion for Merit Badge requirements.

MERIT BADGE COUNSELOR’S COMPLETION CERTIFICATE

THIS IS TO CERTIFY that the above-named Scout personally appeared before the undersigned and that after a careful
examination of said Scout on the subject, has satisfactorily passed the test for ___________________________________
(Merit Badge Subject)

AUGUST 10, 2024

_________________________________ ______________________________________________
(Date Passed the Merit Badge Requirements) (Signature over Printed Name of Merit Badge Counselor)
NOTE: Do not examine Scout unless application is approved by the Troop Leader / Outfit Advisor. Only certified Advancement
Counselors are authorized to sign his certificate.
BSP Form No. 17 (Rev. 07-24-12)

BOY SCOUTS OF THE PHILIPPINES

NATIONAL OFFICE
Manila
MERIT BADGE APPLICATION

AUGUST 12, 2024

Date ____________________________
(Date of Merit Badge Application is applied for)

KENLY MICHAEL O. SADIASA

I, ____________________________________________________________ hereby certify that I have been a holder
(Scout’s complete name in block letters)

the __________________________________
EAGLE SCOUT since ___________________________________
FEBRUARY 28 2025 that I am a member of
(Present Scout Rank/Badge) (Date passed the Board of Review)
399
_______________________, _____________________________________
ILOCOS SUR NATIONAL HIGH SCHOOL , _____________________________Council
ILOCOS SUR
(Troop / Outfit No.) (Sponsoring Institution)
PUBLIC SPEAKING
and that I am qualified to work on the requirements for the ____________________________________ Merit

Badge.
KENLY MICHAEL O. SADIASA
_____________________________________
(Signature over Printed Name)
APPROVED:
______________________________________________
(Signature over Printed Name of Troop Leader / Outfit Advisor)
NOTE: Upon signing this Merit Badge Application, the Troop Leader /Outfit Advisor recommends and sets an appointment with an
accredited/certified Merit Badge Counselor on specified dates of Merit Badge Counseling/Examination.

MERIT BADGE COUNSELING APPOINTMENT

Merit Badge Requirements / Projects Troop Leader/ Merit Badge Counselor

Submitted and Completed Outfit Signature
Date of 1st Meeting: Advisor

Date of 2nd Meeting:

Date of 3rd Meeting:

(Optional when
requirements are NOT
satisfied during the
2nd Meeting)
NOTE: This portion MUST filled-out by the Scout who appears before the Merit Badge Counseling/Examination and MUST be signed
by the Troop Leader / Outfit Advisor and the Merit Badge Counselor as proof of completion for Merit Badge requirements.

MERIT BADGE COUNSELOR’S COMPLETION CERTIFICATE

THIS IS TO CERTIFY that the above-named Scout personally appeared before the undersigned and that after a careful
examination of said Scout on the subject, has satisfactorily passed the test for ___________________________________
(Merit Badge Subject)

SEPTEMBER 28, 2024

_________________________________ ______________________________________________
(Date Passed the Merit Badge Requirements) (Signature over Printed Name of Merit Badge Counselor)
NOTE: Do not examine Scout unless application is approved by the Troop Leader / Outfit Advisor. Only certified Advancement
Counselors are authorized to sign his certificate.
BSP Form No. 17 (Rev. 07-24-12)

BOY SCOUTS OF THE PHILIPPINES

NATIONAL OFFICE
Manila
MERIT BADGE APPLICATION

OCTOBER 4, 2024
Date ____________________________
(Date of Merit Badge Application is applied for)

KENLY MICHAEL O. SADIASA

I, ____________________________________________________________ hereby certify that I have been a holder
(Scout’s complete name in block letters)

the __________________________________
EAGLE SCOUT since ___________________________________
FEBRUARY 28 2025 that I am a member of
(Present Scout Rank/Badge) (Date passed the Board of Review)
399
_______________________, _____________________________________
ILOCOS SUR NATIONAL HIGH SCHOOL , _____________________________Council
ILOCOS SUR
(Troop / Outfit No.) (Sponsoring Institution)
PHOTOGRAPHY
and that I am qualified to work on the requirements for the ____________________________________ Merit

Badge.
KENLY MICHAEL O. SADIASA
_____________________________________
(Signature over Printed Name)
APPROVED:
______________________________________________
(Signature over Printed Name of Troop Leader / Outfit Advisor)
NOTE: Upon signing this Merit Badge Application, the Troop Leader /Outfit Advisor recommends and sets an appointment with an
accredited/certified Merit Badge Counselor on specified dates of Merit Badge Counseling/Examination.

MERIT BADGE COUNSELING APPOINTMENT

Merit Badge Requirements / Projects Troop Leader/ Merit Badge Counselor

Submitted and Completed Outfit Signature
Date of 1st Meeting: Advisor

Date of 2nd Meeting:

Date of 3rd Meeting:

(Optional when
requirements are NOT
satisfied during the
2nd Meeting)
NOTE: This portion MUST filled-out by the Scout who appears before the Merit Badge Counseling/Examination and MUST be signed
by the Troop Leader / Outfit Advisor and the Merit Badge Counselor as proof of completion for Merit Badge requirements.

MERIT BADGE COUNSELOR’S COMPLETION CERTIFICATE

THIS IS TO CERTIFY that the above-named Scout personally appeared before the undersigned and that after a careful
examination of said Scout on the subject, has satisfactorily passed the test for ___________________________________
(Merit Badge Subject)

DECEMBER 7, 2024
_________________________________ ______________________________________________
(Date Passed the Merit Badge Requirements) (Signature over Printed Name of Merit Badge Counselor)
NOTE: Do not examine Scout unless application is approved by the Troop Leader / Outfit Advisor. Only certified Advancement
Counselors are authorized to sign his certificate.
BSP Form No. 17 (Rev. 07-24-12)

BOY SCOUTS OF THE PHILIPPINES

NATIONAL OFFICE
Manila
MERIT BADGE APPLICATION

AUGUST 10, 2023

Date ____________________________
(Date of Merit Badge Application is applied for)

KENLY MICHAEL O. SADIASA

I, ____________________________________________________________ hereby certify that I have been a holder
(Scout’s complete name in block letters)

the __________________________________
EAGLE SCOUT since ___________________________________
FEBRUARY 28 2025 that I am a member of
(Present Scout Rank/Badge) (Date passed the Board of Review)
399
_______________________, _____________________________________
ILOCOS SUR NATIONAL HIGH SCHOOL , _____________________________Council
ILOCOS SUR
(Troop / Outfit No.) (Sponsoring Institution)
GO GREEN
and that I am qualified to work on the requirements for the ____________________________________ Merit

Badge.
KENLY MICHAEL O. SADIASA
_____________________________________
(Signature over Printed Name)
APPROVED:
______________________________________________
(Signature over Printed Name of Troop Leader / Outfit Advisor)
NOTE: Upon signing this Merit Badge Application, the Troop Leader /Outfit Advisor recommends and sets an appointment with an
accredited/certified Merit Badge Counselor on specified dates of Merit Badge Counseling/Examination.

MERIT BADGE COUNSELING APPOINTMENT

Merit Badge Requirements / Projects Troop Leader/ Merit Badge Counselor

Submitted and Completed Outfit Signature
Date of 1st Meeting: Advisor

Date of 2nd Meeting:

Date of 3rd Meeting:

(Optional when
requirements are NOT
satisfied during the
2nd Meeting)
NOTE: This portion MUST filled-out by the Scout who appears before the Merit Badge Counseling/Examination and MUST be signed
by the Troop Leader / Outfit Advisor and the Merit Badge Counselor as proof of completion for Merit Badge requirements.

MERIT BADGE COUNSELOR’S COMPLETION CERTIFICATE

THIS IS TO CERTIFY that the above-named Scout personally appeared before the undersigned and that after a careful
examination of said Scout on the subject, has satisfactorily passed the test for ___________________________________
(Merit Badge Subject)

OCTOBER 15, 2023

_________________________________ ______________________________________________
(Date Passed the Merit Badge Requirements) (Signature over Printed Name of Merit Badge Counselor)
NOTE: Do not examine Scout unless application is approved by the Troop Leader / Outfit Advisor. Only certified Advancement
Counselors are authorized to sign his certificate.
BSP Form No. 17 (Rev. 07-24-12)

BOY SCOUTS OF THE PHILIPPINES

NATIONAL OFFICE
Manila
MERIT BADGE APPLICATION

NOVEMBER 4, 2023
Date ____________________________
(Date of Merit Badge Application is applied for)

KENLY MICHAEL O. SADIASA

I, ____________________________________________________________ hereby certify that I have been a holder
(Scout’s complete name in block letters)

the __________________________________
EAGLE SCOUT since ___________________________________
FEBRUARY 28 2025 that I am a member of
(Present Scout Rank/Badge) (Date passed the Board of Review)
399
_______________________, _____________________________________
ILOCOS SUR NATIONAL HIGH SCHOOL , _____________________________Council
ILOCOS SUR
(Troop / Outfit No.) (Sponsoring Institution)
GROW GREEN
and that I am qualified to work on the requirements for the ____________________________________ Merit

Badge.
KENLY MICHAEL O. SADIASA
_____________________________________
(Signature over Printed Name)
APPROVED:
______________________________________________
(Signature over Printed Name of Troop Leader / Outfit Advisor)
NOTE: Upon signing this Merit Badge Application, the Troop Leader /Outfit Advisor recommends and sets an appointment with an
accredited/certified Merit Badge Counselor on specified dates of Merit Badge Counseling/Examination.

MERIT BADGE COUNSELING APPOINTMENT

Merit Badge Requirements / Projects Troop Leader/ Merit Badge Counselor

Submitted and Completed Outfit Signature
Date of 1st Meeting: Advisor

Date of 2nd Meeting:

Date of 3rd Meeting:

(Optional when
requirements are NOT
satisfied during the
2nd Meeting)
NOTE: This portion MUST filled-out by the Scout who appears before the Merit Badge Counseling/Examination and MUST be signed
by the Troop Leader / Outfit Advisor and the Merit Badge Counselor as proof of completion for Merit Badge requirements.

MERIT BADGE COUNSELOR’S COMPLETION CERTIFICATE

THIS IS TO CERTIFY that the above-named Scout personally appeared before the undersigned and that after a careful
examination of said Scout on the subject, has satisfactorily passed the test for ___________________________________
(Merit Badge Subject)

NOVEMBER 20, 2023

_________________________________ ______________________________________________
(Date Passed the Merit Badge Requirements) (Signature over Printed Name of Merit Badge Counselor)
NOTE: Do not examine Scout unless application is approved by the Troop Leader / Outfit Advisor. Only certified Advancement
Counselors are authorized to sign his certificate.