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This form must be completed at least two week prior to the badge presentation. Badge
name.___________________________ Level
_________________________________ Date completed.
________________________ Date signed in
green book. _______________ Signed by
(leader) . _____________________ SCOUT NAME ___________________________________________________________ SCOUT SIGNATURE ______________________________________________________ PETER BARANOW. SL Mbl 0418 378871 H 94873787 W 93477788 Email peterb@vanbar.com.au JOHN BENIN SL Mbl 0414485203 H 9497-4902 Email ziggyzoo@iprimus.com.au
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