MEMBERS PERSONAL INFORMATION SHEET SELOUS SCOUTS REGIMENTAL ASSOCIATION Members Name * First Name Last Name Members Date of Birth * MM DD YYYY Members Regimental Number * If the member does not have the above information please visit https://www.theselousscouts.com/ScoutsRoll.php to get the verify Member Rank * Trooper Lance Corporal Corporal Sergeant Staff Sergeant WO2 WO1 Second Lieutenant Lieutenant Captain Major Lieutenant Colonel Members Service Start Date * MM DD YYYY Members Service End Date * MM DD YYYY Members Unit/Group * Members Parent Unit Members Awards Members Wings Number If the member does not have the above information please visit https://www.theselousscouts.com/ScoutsRoll.php to get the verify Members Email * Members Phone Number * Country (###) ### #### Members Address * If you have no post code use 0000 Address 1 Address 2 City State/Province Zip/Postal Code Country Members Place of Birth Members Next of Kin First Name Last Name Members Next of Kin Email Members Next of Kin Phone Number Country (###) ### #### Members Descendants Please list the names of your children and grandchildren Members Message Any additional information or queries you have Thank you!
